My Psychotherapy L.c.s.w., P.c.

NPI #1205476405 in Brooklyn, New York

Provider Information

NPI Number: 1205476405
Entity Type: Organization
Organization Name: My Psychotherapy L.c.s.w., P.c.
Primary Specialty: Counselor - Mental Health
Enumeration Date: Jan 15, 2020
Last Updated: Jan 15, 2020

Practice Location

Address: 154 CARROLL ST APT A3
City: Brooklyn
State: New York
ZIP Code: 11231-3580
Phone: (646) 647-7644

Authorized Official

Name: KORI GRILLO, LCSW
Title: PRESIDENT & CEO
Phone: (646) 647-7644

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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