Provider Demographics
NPI:1467034686
Name:TAINA LUCY PSYCHOTHERAPY
Entity Type:Organization
Organization Name:TAINA LUCY PSYCHOTHERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:TAINA
Authorized Official - Middle Name:LUCY
Authorized Official - Last Name:ANDUJAR
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, LMHC
Authorized Official - Phone:917-294-4092
Mailing Address - Street 1:260 MADISON AVE STE 8039
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-2400
Mailing Address - Country:US
Mailing Address - Phone:917-294-4092
Mailing Address - Fax:
Practice Address - Street 1:260 MADISON AVE STE 8039
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-2400
Practice Address - Country:US
Practice Address - Phone:917-294-4092
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-27
Last Update Date:2021-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management