Provider Demographics
NPI:1154196657
Name:JOURNEY THROUGH THERAPY LCSW PC
Entity type:Organization
Organization Name:JOURNEY THROUGH THERAPY LCSW PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOCIAL WORKER (DSW)
Authorized Official - Prefix:
Authorized Official - First Name:NYKKE
Authorized Official - Middle Name:
Authorized Official - Last Name:FLAUM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-499-9398
Mailing Address - Street 1:797 PLAINFIELD LN
Mailing Address - Street 2:
Mailing Address - City:VALLEY STREAM
Mailing Address - State:NY
Mailing Address - Zip Code:11581-3608
Mailing Address - Country:US
Mailing Address - Phone:917-499-9398
Mailing Address - Fax:
Practice Address - Street 1:797 PLAINFIELD LN
Practice Address - Street 2:
Practice Address - City:VALLEY STREAM
Practice Address - State:NY
Practice Address - Zip Code:11581-3608
Practice Address - Country:US
Practice Address - Phone:917-499-9398
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-15
Last Update Date:2025-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty