Practical Online Therapy, LLC

NPI #1417615675 in Corona, New York

Provider Information

NPI Number
1417615675
Entity Type
Organization
Organization Name
Practical Online Therapy, LLC
Primary Specialty
Social Worker - Clinical
Enumeration Date
Dec 6, 2021
Last Updated
Aug 5, 2022

Practice Location

Address
10417 35TH AVE
City
Corona
ZIP Code
11368-1933
Phone
(929) 335-4227

Authorized Official

Name
MRS. NIXALY LEONARDO-YAKUBOV, LCSW
Title
PRESIDENT
Phone
(347) 848-2237

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Mental Health (Including Community Mental Health Center)Mental Health (Including Community Mental Health Center)
Social Worker - ClinicalClinical

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