Provider Demographics
NPI:1750085833
Name:JAMIE GENATT THERAPY PLLC
Entity type:Organization
Organization Name:JAMIE GENATT THERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JAMIE
Authorized Official - Middle Name:RUTH
Authorized Official - Last Name:GENATT
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:516-724-2107
Mailing Address - Street 1:215 N NEW RIVER DR E APT 3980
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33301-2761
Mailing Address - Country:US
Mailing Address - Phone:516-724-2107
Mailing Address - Fax:
Practice Address - Street 1:3333 NEW HYDE PARK RD STE 400
Practice Address - Street 2:
Practice Address - City:NEW HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:11042-1205
Practice Address - Country:US
Practice Address - Phone:516-724-2107
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-30
Last Update Date:2023-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty