Provider Demographics
NPI:1649839507
Name:INTUITIVE HEALING PSYCHOTHERAPY PRACTICE
Entity type:Organization
Organization Name:INTUITIVE HEALING PSYCHOTHERAPY PRACTICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LINDSEY
Authorized Official - Middle Name:
Authorized Official - Last Name:PRATT
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:978-430-7619
Mailing Address - Street 1:875 6TH AVE RM 1602
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001-3574
Mailing Address - Country:US
Mailing Address - Phone:978-430-7619
Mailing Address - Fax:
Practice Address - Street 1:875 6TH AVE RM 1602
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-3574
Practice Address - Country:US
Practice Address - Phone:978-430-7619
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-13
Last Update Date:2019-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1588134860OtherNPI
NY1619466778OtherNPI
NY1750810628OtherNPI
NY1215426408OtherNPI
NY1336417591OtherNPI
NY1548628803OtherNPI