Provider Demographics
NPI:1891575171
Name:BORKOR PSYCHOTHERAPY SERVICES LCSW, PLLC
Entity Type:Organization
Organization Name:BORKOR PSYCHOTHERAPY SERVICES LCSW, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:PRISCILLA
Authorized Official - Middle Name:T
Authorized Official - Last Name:BORKOR
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:917-805-8275
Mailing Address - Street 1:335 FENIMORE ST APT 2B
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11225-6154
Mailing Address - Country:US
Mailing Address - Phone:917-805-8275
Mailing Address - Fax:917-634-8776
Practice Address - Street 1:335 FENIMORE ST APT 2B
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11225-6154
Practice Address - Country:US
Practice Address - Phone:917-805-8275
Practice Address - Fax:917-634-8776
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-03
Last Update Date:2023-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty