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NPI Code Detail

MEDICARE: E-MOTION THERAPY LMSW PC

MEDICARE: E-MOTION THERAPY LMSW PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number : 1669108304
Entity Type Code : Organization
Provider Name (Legal Business Name) : E-MOTION THERAPY LMSW PC
Provider Business Mailing Address
First Line : 64 BAY 38TH ST APT 1A
Second Line :
City : BROOKLYN
State : NY
Zip : 11214-5665
Country : US
Telephone Number : 718-915-3851
Fax Number :
Provider Business Practice Location Address
First Line : 64 BAY 38TH ST APT 1A
Second Line :
City : BROOKLYN
State : NY
Zip : 11214-5665
Country : US
Telephone Number : 718-915-3851
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MRS. ALINA KHEYSON
Credential : LCSW
Telephone Number : 718-915-3851
Provider Enumeration Date : 07/26/2022
Last Update Date : 10/21/2024

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Directions to “E-MOTION THERAPY LMSW PC ” Practice Location

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