Provider Demographics
NPI:1316595978
Name:EFFECTIVE PATHWAYS PSYCHOTHERAPY SERVICES LCSW PLLC
Entity Type:Organization
Organization Name:EFFECTIVE PATHWAYS PSYCHOTHERAPY SERVICES LCSW PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:URI
Authorized Official - Middle Name:
Authorized Official - Last Name:COHEN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:212-568-0114
Mailing Address - Street 1:44 BENNETT AVE APT 5I
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10033-2132
Mailing Address - Country:US
Mailing Address - Phone:212-568-0114
Mailing Address - Fax:
Practice Address - Street 1:1 BLUE HILL PLZ STE 1509
Practice Address - Street 2:
Practice Address - City:PEARL RIVER
Practice Address - State:NY
Practice Address - Zip Code:10965-3165
Practice Address - Country:US
Practice Address - Phone:845-502-1343
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-27
Last Update Date:2019-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty