Provider Demographics
NPI:1568883130
Name:FACE TO FACE COUNSELING AND PSYCHOTHERAPY
Entity Type:Organization
Organization Name:FACE TO FACE COUNSELING AND PSYCHOTHERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:CANDIDA
Authorized Official - Middle Name:ROSA
Authorized Official - Last Name:DIAZ
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW-R
Authorized Official - Phone:917-834-6211
Mailing Address - Street 1:289 SOMMERVILLE PL
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10703-2212
Mailing Address - Country:US
Mailing Address - Phone:917-834-6211
Mailing Address - Fax:914-206-3666
Practice Address - Street 1:531 CENTRAL PARK AVE STE 104
Practice Address - Street 2:
Practice Address - City:SCARSDALE
Practice Address - State:NY
Practice Address - Zip Code:10583-1085
Practice Address - Country:US
Practice Address - Phone:917-834-6211
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-26
Last Update Date:2013-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0589851041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty