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

Lost Coast Psychotherapy LCSW PLLC

Organization Adult Mental Health Clinic/Center · NPI 1033990411

Lost Coast Psychotherapy LCSW PLLC is an Adult Mental Health Clinic/Center in New York, New York. Registered with an NPI since 2023.

In the registry since
2023
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

1178 Broadway Fl 3
New York, NY 10001-5666
Phone: (929) 262-0794
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Mental Health Clinic/Center (primary) Taxonomy 261QM0850X

Record details

NPI number1033990411
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Waldon — Owner · (707) 489-8814
NPI enumeratedOctober 11, 2023
Last updated in NPPESOctober 11, 2023
Certification dateOctober 11, 2023
Mailing address14 San Carlos Ave, El Cerrito, CA 94530-4147

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