Integrated Psychotherapy Counseling Lcsw, Pllc
NPI #1003609827 in Port Jefferson, New York
Provider Information
- NPI Number
- 1003609827
- Entity Type
- Organization
- Organization Name
- Integrated Psychotherapy Counseling Lcsw, Pllc
- Primary Specialty
- Clinic/Center - Adult Mental Health
- Enumeration Date
- May 24, 2025
- Last Updated
- Nov 5, 2025
Practice Location
- Address
- 100 MARINERS WAY
- City
- Port Jefferson
- State
- New York
- ZIP Code
- 11777-1848
- Phone
- (934) 246-6042
Authorized Official
- Name
- JULIE STARK, LCSW
- Title
- CLINICIAN & PARTNER
- Phone
- (934) 246-6042
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adult Mental Health — Adult Mental Health |
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