Provider Demographics
NPI:1215346622
Name:LET'S TALK PSYCHOLOGICAL WELLNESS, PC
Entity type:Organization
Organization Name:LET'S TALK PSYCHOLOGICAL WELLNESS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:NATHILEE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:CALDEIRA
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:678-748-0430
Mailing Address - Street 1:4015 AVENUE K
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11210-4944
Mailing Address - Country:US
Mailing Address - Phone:678-748-0430
Mailing Address - Fax:
Practice Address - Street 1:920 BROADWAY FL 8
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-8013
Practice Address - Country:US
Practice Address - Phone:678-748-0430
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-11
Last Update Date:2014-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY016933103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty