Provider Demographics
NPI:1700533502
Name:PSYCHOTHERAPY CONSULTATION SERVICES LCSW PLLC
Entity Type:Organization
Organization Name:PSYCHOTHERAPY CONSULTATION SERVICES LCSW PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:YURILKA
Authorized Official - Middle Name:
Authorized Official - Last Name:HERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:917-683-0707
Mailing Address - Street 1:80 WOODYCREST AVE
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10701-5921
Mailing Address - Country:US
Mailing Address - Phone:917-683-0707
Mailing Address - Fax:
Practice Address - Street 1:80 WOODYCREST AVE
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10701-5921
Practice Address - Country:US
Practice Address - Phone:917-683-0707
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-02
Last Update Date:2022-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health