Provider Demographics
NPI:1548918626
Name:REMNANT THERAPY, LCSW, P.C.
Entity type:Organization
Organization Name:REMNANT THERAPY, LCSW, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHRISTIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCPHERSON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:631-604-8159
Mailing Address - Street 1:1008 VILLAGE DR APT 1008B
Mailing Address - Street 2:
Mailing Address - City:RIDGE
Mailing Address - State:NY
Mailing Address - Zip Code:11961-8296
Mailing Address - Country:US
Mailing Address - Phone:631-604-8159
Mailing Address - Fax:
Practice Address - Street 1:1008 VILLAGE DR
Practice Address - Street 2:
Practice Address - City:RIDGE
Practice Address - State:NY
Practice Address - Zip Code:11961-8296
Practice Address - Country:US
Practice Address - Phone:631-604-8159
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-16
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health