Provider Demographics
NPI:1588411045
Name:OPEN-MINDED MARRIAGE & FAMILY THERAPY, PLLC
Entity type:Organization
Organization Name:OPEN-MINDED MARRIAGE & FAMILY THERAPY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LMFT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALEXA
Authorized Official - Middle Name:A
Authorized Official - Last Name:SADOWSKY
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:631-372-9378
Mailing Address - Street 1:66 CLAREMONT ST
Mailing Address - Street 2:
Mailing Address - City:DEER PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11729-1216
Mailing Address - Country:US
Mailing Address - Phone:631-372-9378
Mailing Address - Fax:
Practice Address - Street 1:2100 MIDDLE COUNTRY RD STE 211B
Practice Address - Street 2:
Practice Address - City:CENTEREACH
Practice Address - State:NY
Practice Address - Zip Code:11720-3553
Practice Address - Country:US
Practice Address - Phone:631-468-8587
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-02
Last Update Date:2024-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty