| Umoja Psychotherapy Lcsw Pllc | |
|
35 Schleigel Blvd Farmingdale NY 11735-6224 | |
| (516) 455-5195 | |
| Not Available |
| Full Name | Umoja Psychotherapy Lcsw Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 35 Schleigel Blvd, Farmingdale, New York |
| Authorized Official Name and Position | Tashi M. Self (OWNER/THERAPIST) |
| Authorized Official Contact | 5164555195 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Umoja Psychotherapy Lcsw Pllc 35 Schleigel Blvd Farmingdale NY 11735-6224 Ph: (516) 455-5195 | Umoja Psychotherapy Lcsw Pllc 35 Schleigel Blvd Farmingdale NY 11735-6224 Ph: (516) 455-5195 |
| NPI Number | 1700614393 |
|---|---|
| Provider Enumeration Date | 07/24/2024 |
| Last Update Date | 07/24/2024 |
| Certification Date | 07/24/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700614393 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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