Provider Demographics
NPI:1063229029
Name:HUDSON SQUARE THERAPY MENTAL HEALTH COUNSELING SERVICES PLLC
Entity type:Organization
Organization Name:HUDSON SQUARE THERAPY MENTAL HEALTH COUNSELING SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GROUP PRACTICE OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSH
Authorized Official - Middle Name:NATHAN
Authorized Official - Last Name:BLUM
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:646-752-1270
Mailing Address - Street 1:200 PRINCE ST APT 4F
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10012-2978
Mailing Address - Country:US
Mailing Address - Phone:646-752-1270
Mailing Address - Fax:
Practice Address - Street 1:200 PRINCE ST APT 4F
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10012-2978
Practice Address - Country:US
Practice Address - Phone:646-752-1270
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-13
Last Update Date:2024-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health