| Original Therapy, A Licensed Clinical Social Worker Corporation | |
|
333 E Broadway Apt 506 Long Beach CA 90802-6288 | |
| (213) 798-4350 | |
| Not Available |
| Full Name | Original Therapy, A Licensed Clinical Social Worker Corporation |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 333 E Broadway Apt 506, Long Beach, California |
| Authorized Official Name and Position | Gabrael Rosenthal (LCSW) |
| Authorized Official Contact | 2137984350 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Original Therapy, A Licensed Clinical Social Worker Corporation Po Box 22 Long Beach CA 90801-0022 Ph: () - | Original Therapy, A Licensed Clinical Social Worker Corporation 333 E Broadway Apt 506 Long Beach CA 90802-6288 Ph: (213) 798-4350 |
| NPI Number | 1013873793 |
|---|---|
| Provider Enumeration Date | 12/26/2025 |
| Last Update Date | 12/29/2025 |
| Certification Date | 12/29/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013873793 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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