Free Mind Therapy NY Lcsw Pllc

NPI #1366139727 in Northport, New York

Provider Information

NPI Number: 1366139727
Entity Type: Organization
Organization Name: Free Mind Therapy NY Lcsw Pllc
Primary Specialty: Behavior Analyst
Enumeration Date: Apr 18, 2023
Last Updated: Apr 18, 2023

Practice Location

Address: 20 NORTHFIELD DR
City: Northport
State: New York
ZIP Code: 11768-2413
Phone: (516) 578-4430

Authorized Official

Name: SEAN D MACCORKINDALE, LCSW
Title: MEMBER
Phone: (516) 578-4430

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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