Provider Demographics
NPI:1558143644
Name:WHOLE STORIES THERAPY: A MARRIAGE AND FAMILY THERAPY PRACTICE, PLLC
Entity type:Organization
Organization Name:WHOLE STORIES THERAPY: A MARRIAGE AND FAMILY THERAPY PRACTICE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:ASHERA
Authorized Official - Middle Name:RUTH
Authorized Official - Last Name:DE ROSA
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:937-888-0679
Mailing Address - Street 1:257 LAFAYETTE AVE STE 103
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14213-1595
Mailing Address - Country:US
Mailing Address - Phone:937-888-0679
Mailing Address - Fax:
Practice Address - Street 1:257 LAFAYETTE AVE STE 103
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14213-1595
Practice Address - Country:US
Practice Address - Phone:937-888-0679
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-16
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty