| Roots Branches Therapy Lcsw Pllc | |
|
34 Plaza St E Ste P109 Brooklyn NY 11238-5047 | |
| (646) 490-1930 | |
| Not Available |
| Full Name | Roots Branches Therapy Lcsw Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 34 Plaza St E Ste P109, Brooklyn, New York |
| Authorized Official Name and Position | Nicole Gonzalez (LCSW) |
| Authorized Official Contact | 6464901930 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roots Branches Therapy Lcsw Pllc 34 Plaza St E P109 Brooklyn NY 11238-5047 Ph: () - | Roots Branches Therapy Lcsw Pllc 34 Plaza St E Ste P109 Brooklyn NY 11238-5047 Ph: (646) 490-1930 |
| NPI Number | 1982287900 |
|---|---|
| Provider Enumeration Date | 04/29/2021 |
| Last Update Date | 04/29/2021 |
| Certification Date | 04/27/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982287900 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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