Provider Demographics
NPI:1073042768
Name:THERAPY SERVICES FOR FAMILIES PC
Entity Type:Organization
Organization Name:THERAPY SERVICES FOR FAMILIES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:FORDHAM
Authorized Official - Last Name:RICHEY
Authorized Official - Suffix:
Authorized Official - Credentials:RN, MS, LMFT
Authorized Official - Phone:919-641-8525
Mailing Address - Street 1:1502 W NC HIGHWAY 54
Mailing Address - Street 2:SUITE 505
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27707-5599
Mailing Address - Country:US
Mailing Address - Phone:919-641-8525
Mailing Address - Fax:919-401-8081
Practice Address - Street 1:1502 W NC HIGHWAY 54 STE 505
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27707-5599
Practice Address - Country:US
Practice Address - Phone:919-641-8525
Practice Address - Fax:919-401-8081
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-07
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)