Provider Demographics
NPI:1790102523
Name:REDEEMER PRESBYTERIAN CHURCH
Entity Type:Organization
Organization Name:REDEEMER PRESBYTERIAN CHURCH
Other - Org Name:REDEEMER COUNSELING SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF COUNSELING
Authorized Official - Prefix:MRS
Authorized Official - First Name:JUDY
Authorized Official - Middle Name:JUNG-YEUN
Authorized Official - Last Name:CHA
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:212-370-0475
Mailing Address - Street 1:1359 BROADWAY
Mailing Address - Street 2:4TH FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10018-7102
Mailing Address - Country:US
Mailing Address - Phone:212-370-0475
Mailing Address - Fax:212-252-0649
Practice Address - Street 1:1359 BROADWAY
Practice Address - Street 2:4TH FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10018-7102
Practice Address - Country:US
Practice Address - Phone:212-370-0475
Practice Address - Fax:212-252-0649
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-18
Last Update Date:2014-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoralGroup - Multi-Specialty
No103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty