Provider Demographics
NPI:1831774850
Name:PSYCHOTHERAPY SERVICES LCSW PLLC
Entity type:Organization
Organization Name:PSYCHOTHERAPY SERVICES LCSW PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JEANNETTE
Authorized Official - Middle Name:ALEJANDRA
Authorized Official - Last Name:SUCRE
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:347-653-3612
Mailing Address - Street 1:35 HAMILTON PL APT 101
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10031-6813
Mailing Address - Country:US
Mailing Address - Phone:212-933-1865
Mailing Address - Fax:212-933-1865
Practice Address - Street 1:35 HAMILTON PL APT 101
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10031-6813
Practice Address - Country:US
Practice Address - Phone:212-933-1865
Practice Address - Fax:212-933-1865
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-11
Last Update Date:2022-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty