Elysian Group Practice LLC

NPI #1871296772 in Mamaroneck, New York

Provider Information

NPI Number: 1871296772
Entity Type: Organization
Organization Name: Elysian Group Practice LLC
Primary Specialty: Social Worker
Enumeration Date: Mar 22, 2023
Last Updated: Mar 22, 2023

Practice Location

Address: 133 GERTRUDE AVE
City: Mamaroneck
State: New York
ZIP Code: 10543-1506
Phone: (718) 200-3653

Authorized Official

Name: TANIESHA DELPH, LCSW
Title: OWNER
Phone: (914) 292-0524

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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