Provider Demographics
NPI:1841642311
Name:JUNE SORY- PSYCHOTHERAPY & COUNSELING
Entity type:Organization
Organization Name:JUNE SORY- PSYCHOTHERAPY & COUNSELING
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:JUNE
Authorized Official - Middle Name:
Authorized Official - Last Name:SORY
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:203-554-2480
Mailing Address - Street 1:515 N FLAGLER DR
Mailing Address - Street 2:P-300
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33401-4321
Mailing Address - Country:US
Mailing Address - Phone:561-370-7373
Mailing Address - Fax:
Practice Address - Street 1:515 N FLAGLER DR
Practice Address - Street 2:P-300
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33401-4321
Practice Address - Country:US
Practice Address - Phone:561-370-7373
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-08
Last Update Date:2016-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH11747101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty