Provider Demographics
NPI:1437510872
Name:LETS TALK PSYCHOLOGICAL WELLNESS, P.C.
Entity Type:Organization
Organization Name:LETS TALK PSYCHOLOGICAL WELLNESS, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PAYXHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MERAV
Authorized Official - Middle Name:
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:914-924-7984
Mailing Address - Street 1:220 5TH AVE
Mailing Address - Street 2:SUITE 300
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001-7708
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:200 5TH AVE
Practice Address - Street 2:SUITE 300
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-3302
Practice Address - Country:US
Practice Address - Phone:678-748-0430
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-13
Last Update Date:2016-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY021340103TB0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & BehavioralGroup - Single Specialty