NPI | 1609621507 |
---|---|
Doing Business As | REAL TALK THERAPY, LCSW |
Entity Type | Organization |
Authorized Contact | ATO A WILLIAMS Owner/Operator 347-206-5699 |
Organization Subpart ? | No |
Primary Taxonomy | 104100000X Social Worker |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
1041C0700X Social Worker, Clinical | |
Enumeration Date | 2024-04-23 |
Last Update Date | 2024-04-23 |