Provider Demographics
NPI:1912543679
Name:PIECES TOGETHER THERAPY LCSW PLLC
Entity Type:Organization
Organization Name:PIECES TOGETHER THERAPY LCSW PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PORSCHE
Authorized Official - Middle Name:
Authorized Official - Last Name:HOLCOMB
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:917-773-8270
Mailing Address - Street 1:5110 BROADWAY # 1037
Mailing Address - Street 2:
Mailing Address - City:WOODSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11377-1729
Mailing Address - Country:US
Mailing Address - Phone:917-773-8270
Mailing Address - Fax:855-924-2772
Practice Address - Street 1:333 AVENUE X #2
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11223
Practice Address - Country:US
Practice Address - Phone:917-773-8270
Practice Address - Fax:855-924-2772
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-18
Last Update Date:2023-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty