Bespoke Therapy INC
NPI #1003600933 in West Hollywood, California
Provider Information
- NPI Number
- 1003600933
- Entity Type
- Organization
- Organization Name
- Bespoke Therapy INC
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Apr 7, 2025
- Last Updated
- Apr 7, 2025
Practice Location
- Address
- 1300 N LAUREL AVE APT 17
- City
- West Hollywood
- State
- California
- ZIP Code
- 90046-4613
- Phone
- (646) 374-2827
Authorized Official
- Name
- JACK HAZAN
- Title
- OWNER
- Phone
- (917) 453-9306
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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