Provider Demographics
NPI:1083464267
Name:ABREU ESSENCE PSYCHOTHERAPY LCSW- PLLC
Entity Type:Organization
Organization Name:ABREU ESSENCE PSYCHOTHERAPY LCSW- PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:LUIS
Authorized Official - Middle Name:J
Authorized Official - Last Name:ABREU
Authorized Official - Suffix:JR
Authorized Official - Credentials:LCSW
Authorized Official - Phone:845-801-2981
Mailing Address - Street 1:313 COUNTY ROUTE 22
Mailing Address - Street 2:
Mailing Address - City:SLATE HILL
Mailing Address - State:NY
Mailing Address - Zip Code:10973-4015
Mailing Address - Country:US
Mailing Address - Phone:845-801-2981
Mailing Address - Fax:
Practice Address - Street 1:313 COUNTY ROUTE 22
Practice Address - Street 2:
Practice Address - City:SLATE HILL
Practice Address - State:NY
Practice Address - Zip Code:10973-4015
Practice Address - Country:US
Practice Address - Phone:845-801-2981
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-22
Last Update Date:2024-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)