Provider Demographics
NPI:1295325355
Name:LION TAMER CONSULTING, LLC
Entity type:Organization
Organization Name:LION TAMER CONSULTING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:SARA
Authorized Official - Middle Name:
Authorized Official - Last Name:MONSONIS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:646-470-4232
Mailing Address - Street 1:471 18TH ST # D3A
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11215-6252
Mailing Address - Country:US
Mailing Address - Phone:646-470-4232
Mailing Address - Fax:
Practice Address - Street 1:525 COURT ST STE C2
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11231-3910
Practice Address - Country:US
Practice Address - Phone:646-470-4232
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-22
Last Update Date:2021-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health