Organization Name: | THERAPY PLACE, INC. |
NPI Number: | 1194886028 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DEBORRA MARIE SMITH (PRESIDENT) |
Mailing Address: | 1307 Sunnyside Ln Atlantic |
State: | IA US |
Postal Code: | 500222205 |
Phone Number: | 7122431213 |
Fax Number: | 7122434675 |
NPI Enumeration Date: | 12/13/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 00732 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |