Provider Demographics
NPI:1285337840
Name:KARUNA PSYCHOTHERAPY LLC
Entity type:Organization
Organization Name:KARUNA PSYCHOTHERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BIANCA
Authorized Official - Middle Name:
Authorized Official - Last Name:DEEB
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:781-234-4140
Mailing Address - Street 1:57 PUTNAM ST
Mailing Address - Street 2:
Mailing Address - City:WINTHROP
Mailing Address - State:MA
Mailing Address - Zip Code:02152-2902
Mailing Address - Country:US
Mailing Address - Phone:603-512-8040
Mailing Address - Fax:
Practice Address - Street 1:57 PUTNAM ST
Practice Address - Street 2:
Practice Address - City:WINTHROP
Practice Address - State:MA
Practice Address - Zip Code:02152-2902
Practice Address - Country:US
Practice Address - Phone:603-512-8040
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-23
Last Update Date:2023-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty