| NPI | 1942841101 |
|---|---|
| Former Legal Business Name | MCM COLLABORATIVE PSYCHOTHERAPY LCSW PLLC |
| Doing Business As | MCM COLLABORATIVE, LLC |
| Entity Type | Organization |
| Authorized Contact | AMANDA MAYS Managing Member 917-512-3804 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2019-09-30 |
| Last Update Date | 2021-03-22 |