Hiding Place Individual Family And Marriage Therapy Pllc

NPI Registration Record

Provider / Organization	NPI	Date Certified
HIDING PLACE INDIVIDUAL FAMILY AND MARRIAGE THERAPY PLLC	1467239814	2023-09-11

The organization Hiding Place Individual Family And Marriage Therapy Pllc is registered with the National Plan and Provider Enumeration System (NPPES) and has the assigned NPI of 1467239814. Registration indicates Hiding Place Individual Family And Marriage Therapy Pllc is a provider of services with a specialization in Behavioral Health & Social Service Providers, Marriage & Family Therapist (Marriage & Family Therapist, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Marriage & Family Therapist, Behavioral Health & Social Service Providers)

Entity Type	Organization
Provider Organization	HIDING PLACE INDIVIDUAL FAMILY AND MARRIAGE THERAPY PLLC
Practice Office Address	1868 NIAGARA FALLS BLVD STE 103 TONAWANDA, NY US
Practice Office Telephone	7162010522
Mailing Address	1868 NIAGARA FALLS BLVD STE 103 TONAWANDA, NY 141506494 US
Business Telephone	7162010522
Authorized Official	EDWARD JACKSON, MEMBER/OWNER 7162010522

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