Provider Demographics
NPI:1033984067
Name:INTERWOVEN THERAPY LLC
Entity Type:Organization
Organization Name:INTERWOVEN THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:R
Authorized Official - Last Name:SCIACCA
Authorized Official - Suffix:
Authorized Official - Credentials:MED
Authorized Official - Phone:205-598-7767
Mailing Address - Street 1:2355 TYROL PL
Mailing Address - Street 2:
Mailing Address - City:VESTAVIA HILLS
Mailing Address - State:AL
Mailing Address - Zip Code:35216-4275
Mailing Address - Country:US
Mailing Address - Phone:310-227-0521
Mailing Address - Fax:
Practice Address - Street 1:324 COMMONS DR
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35209-6962
Practice Address - Country:US
Practice Address - Phone:205-598-7767
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-20
Last Update Date:2023-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty