| The Room For The Therapy, Lcsw, Pllc | |
|
1178 Broadway 3rd Fl #4028 New York NY 10001 | |
| (551) 257-3810 | |
| (347) 657-5708 |
| Full Name | The Room For The Therapy, Lcsw, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1178 Broadway, New York, New York |
| Authorized Official Name and Position | Otasowie Lillian Osaigbovo (ADMINISTRATOR) |
| Authorized Official Contact | 5512573810 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Room For The Therapy, Lcsw, Pllc 1178 Broadway 3rd Fl #4028 New York NY 10001 Ph: (551) 257-3810 | The Room For The Therapy, Lcsw, Pllc 1178 Broadway 3rd Fl #4028 New York NY 10001 Ph: (551) 257-3810 |
| NPI Number | 1437985678 |
|---|---|
| Provider Enumeration Date | 09/13/2024 |
| Last Update Date | 09/13/2024 |
| Certification Date | 09/13/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437985678 | NPI | - | NPPES |
| 1083203046 | Other | NY | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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