Healthcare Provider Details

I. General information

NPI: 1922880087
Provider Name (Legal Business Name): RECLAIMING YOU PSYCHOTHERAPY LCSW PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/13/2023
Last Update Date: 10/13/2023
Certification Date: 10/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

34 PLAZA ST E STE P105
BROOKLYN NY
11238-5047
US

IV. Provider business mailing address

34 PLAZA ST E STE P105
BROOKLYN NY
11238-5047
US

V. Phone/Fax

Practice location:
  • Phone: 347-450-4228
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code221700000X
TaxonomyArt Therapist
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code225600000X
TaxonomyDance Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name: ZENA WATSON
Title or Position: OWNER
Credential: LCSW
Phone: 347-450-4228