Her Psychotherapy

LBN: Her Black Therapist Lcsw P.C.
Her Psychotherapy is an health care organization with primary practice located at 1080 Bergen St Ste 122 , Brooklyn NY 11216-3340. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty. Her Black Therapist Lcsw P.C. can be contacted via phone (929) 429-4733, or through Smith, Kalisha via phone (929) 429-4733.

Contact Information

Primary practice address
1080 Bergen St Ste 122 Brooklyn NY 11216-3340
Phone: (929) 429-4733
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Smith, Kalisha LCSW CASAC
Phone: (929) 429-4733

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Social Worker 104100000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1457973539
LBN Legal business name Her Black Therapist Lcsw P.C.
DBA Doing business as Her Psychotherapy
Authorized official Smith, Kalisha LCSW CASAC
Entity Organization
Organization subpart 1 Yes
Enumeration date May 12th, 2020
Last updated Jan 19th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457973539 NPPES
New York MEDICAID 06020204

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