Hispanic Therapy Service

NPI #1245785005 in Westbury, New York

Provider Information

NPI Number: 1245785005
Entity Type: Organization
Organization Name: Hispanic Therapy Service
Primary Specialty: Counselor - Mental Health
Enumeration Date: Aug 22, 2016
Last Updated: Aug 22, 2016

Practice Location

Address: 26 ROOSEVELT CT
City: Westbury
State: New York
ZIP Code: 11590-4135
Phone: (917) 755-2425

Authorized Official

Name: MR. RAFAEL ERIC BOU, L.C.S.W.
Title: PSYCHOTHERAPIST
Phone: (917) 755-2425

Specialties & Taxonomy Codes

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

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