| Her Psychotherapy | |
|
1080 Bergen St Ste 122 Brooklyn NY 11216-3340 | |
| (929) 429-4733 | |
| Not Available |
| Full Name | Her Psychotherapy |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1080 Bergen St Ste 122, Brooklyn, New York |
| Authorized Official Name and Position | Kalisha Smith (OWNER/ CEO) |
| Authorized Official Contact | 9294294733 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Her Psychotherapy 1080 Bergen St Ste 122 Brooklyn NY 11216-3340 Ph: () - | Her Psychotherapy 1080 Bergen St Ste 122 Brooklyn NY 11216-3340 Ph: (929) 429-4733 |
| NPI Number | 1457973539 |
|---|---|
| Provider Enumeration Date | 05/12/2020 |
| Last Update Date | 01/19/2021 |
| Certification Date | 01/19/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457973539 | NPI | - | NPPES |
| 06020204 | Medicaid | NY |
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