Provider Demographics
NPI:1386045573
Name:RESOLVE MENTAL HEALTH COUNSELING PRACTICE, PLLC
Entity Type:Organization
Organization Name:RESOLVE MENTAL HEALTH COUNSELING PRACTICE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT, PSYCHOTHERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:RENEE
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBERTS
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC, CCMHC, CASAC
Authorized Official - Phone:347-963-7348
Mailing Address - Street 1:208 E 51ST ST
Mailing Address - Street 2:#274
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-6557
Mailing Address - Country:US
Mailing Address - Phone:347-463-7348
Mailing Address - Fax:855-267-4365
Practice Address - Street 1:19 W 34TH ST
Practice Address - Street 2:PH
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-3006
Practice Address - Country:US
Practice Address - Phone:347-963-7348
Practice Address - Fax:855-267-4365
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-08
Last Update Date:2014-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY5663251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health