Provider Demographics
NPI:1043631351
Name:THERAPEUTIC, EDUCATION, AND CAREER SERVICES, INC.
Entity Type:Organization
Organization Name:THERAPEUTIC, EDUCATION, AND CAREER SERVICES, INC.
Other - Org Name:YOUR TIME TO THRIVE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:EVONNE
Authorized Official - Middle Name:LANAE
Authorized Official - Last Name:STEPHENSON
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:618-292-1663
Mailing Address - Street 1:4505 W DEYOUNG ST STE 203C
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:IL
Mailing Address - Zip Code:62959-5899
Mailing Address - Country:US
Mailing Address - Phone:618-292-1663
Mailing Address - Fax:844-270-4161
Practice Address - Street 1:4505 W DE YOUNG ST
Practice Address - Street 2:STE 203 C
Practice Address - City:MARION
Practice Address - State:IL
Practice Address - Zip Code:62959-6295
Practice Address - Country:US
Practice Address - Phone:618-292-1663
Practice Address - Fax:618-846-4381
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-05
Last Update Date:2022-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty