Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Five Towns Wellness LCSW PLLC

Organization Mental Health Counselor · NPI 1972110724

Five Towns Wellness LCSW PLLC provides Mental Health Counselor services in New York, New York. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

25 Central Park W Apt 1U
New York, NY 10023-7214
Phone: (646) 339-5567
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1972110724
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sara Glass — Provider/Director · (516) 405-0362
Other names Soul Wellness Nyc; Soul Wellness Nyc
NPI enumeratedSeptember 25, 2020
Last updated in NPPESSeptember 20, 2021
Certification dateSeptember 20, 2021
Mailing address25 Central Park W Apt 1u, New York, NY 10023-7214

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