Provider Demographics
NPI:1508444241
Name:FAITH HONOR SUPPORT LMSW PLLC
Entity Type:Organization
Organization Name:FAITH HONOR SUPPORT LMSW PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED CLINICAL SOCIAL WORKER
Authorized Official - Prefix:MRS
Authorized Official - First Name:NASTASSJA
Authorized Official - Middle Name:
Authorized Official - Last Name:HARPER-SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:646-326-5262
Mailing Address - Street 1:118 E 124TH ST UNIT 836
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10035-9142
Mailing Address - Country:US
Mailing Address - Phone:646-326-5262
Mailing Address - Fax:
Practice Address - Street 1:515 WITH MADISON AVE 21ST FL
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10035
Practice Address - Country:US
Practice Address - Phone:646-543-4151
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-01
Last Update Date:2021-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty