Provider Demographics
NPI:1033810080
Name:THERAPEUTIC ALLIANCES LLC
Entity Type:Organization
Organization Name:THERAPEUTIC ALLIANCES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:EDMUND
Authorized Official - Middle Name:
Authorized Official - Last Name:PLUMMER
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LBC
Authorized Official - Phone:267-982-6539
Mailing Address - Street 1:850 S CECIL ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19143-2719
Mailing Address - Country:US
Mailing Address - Phone:267-982-6539
Mailing Address - Fax:
Practice Address - Street 1:633 NORTH 57TH STREET
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19131-4805
Practice Address - Country:US
Practice Address - Phone:267-982-6539
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-16
Last Update Date:2023-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health