Provider Demographics
NPI:1003685660
Name:LET'S TALK PRIVATELY
Entity Type:Organization
Organization Name:LET'S TALK PRIVATELY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHARISSE
Authorized Official - Middle Name:
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:LICENSED SOCIAL WORK
Authorized Official - Phone:347-409-8735
Mailing Address - Street 1:224 MARKET ST
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10310-1438
Mailing Address - Country:US
Mailing Address - Phone:347-409-8735
Mailing Address - Fax:
Practice Address - Street 1:224 MARKET ST
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10310-1438
Practice Address - Country:US
Practice Address - Phone:347-409-8735
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-25
Last Update Date:2023-12-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency