Provider Demographics
NPI:1164133146
Name:THERAPY CONNECTIONS LCSW PLLC
Entity Type:Organization
Organization Name:THERAPY CONNECTIONS LCSW PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MIROSLAVA
Authorized Official - Middle Name:L
Authorized Official - Last Name:PRADELLA
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW-R, CASAC
Authorized Official - Phone:516-421-7500
Mailing Address - Street 1:1245 HEWLETT PLZ UNIT 133
Mailing Address - Street 2:
Mailing Address - City:HEWLETT
Mailing Address - State:NY
Mailing Address - Zip Code:11557-4006
Mailing Address - Country:US
Mailing Address - Phone:516-421-7500
Mailing Address - Fax:516-421-7501
Practice Address - Street 1:224 FRANKLIN AVE STE 10
Practice Address - Street 2:
Practice Address - City:HEWLETT
Practice Address - State:NY
Practice Address - Zip Code:11557-1928
Practice Address - Country:US
Practice Address - Phone:516-421-7500
Practice Address - Fax:516-421-7501
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-09
Last Update Date:2022-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)