Provider Demographics
NPI:1467805028
Name:MANHATTAN RELATIONSHIP COUNSELING AND PSYCHOTHERAPY
Entity Type:Organization
Organization Name:MANHATTAN RELATIONSHIP COUNSELING AND PSYCHOTHERAPY
Other - Org Name:MANHATTAN RELATIONSHIP COUNSELING AND PSYCHOTHERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRACTICE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MEREDITH
Authorized Official - Middle Name:
Authorized Official - Last Name:SHIREY
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:929-244-3860
Mailing Address - Street 1:42 BROADWAY
Mailing Address - Street 2:SUITE 12-150
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10004-1617
Mailing Address - Country:US
Mailing Address - Phone:929-244-3860
Mailing Address - Fax:212-388-5951
Practice Address - Street 1:42 BROADWAY
Practice Address - Street 2:SUITE 12-150
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10004-1617
Practice Address - Country:US
Practice Address - Phone:929-244-3860
Practice Address - Fax:212-388-5951
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-19
Last Update Date:2016-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001286106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty