Healthcare Provider Details

I. General information

NPI: 1639052947
Provider Name (Legal Business Name): INWOOD HILL THERAPY LCSW
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/26/2025
Last Update Date: 07/26/2025
Certification Date: 07/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

680 W 204TH ST APT 2A
NEW YORK NY
10034-3003
US

IV. Provider business mailing address

680 W 204TH ST APT 2A
NEW YORK NY
10034-3003
US

V. Phone/Fax

Practice location:
  • Phone: 540-850-6728
  • Fax:
Mailing address:
  • Phone: 540-850-6728
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KAETLIN GREER RITCHIE-KOSE
Title or Position: MEMBER-MANAGER
Credential:
Phone: 540-850-6728