Provider Demographics
NPI:1073107967
Name:TOTAL HEALTH AND PRODUCTIVITY LLC
Entity Type:Organization
Organization Name:TOTAL HEALTH AND PRODUCTIVITY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TIM
Authorized Official - Middle Name:
Authorized Official - Last Name:DALAVIRAS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD LPC
Authorized Official - Phone:636-236-9578
Mailing Address - Street 1:15235 BRIGHTFIELD MANOR DR
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:63017-2488
Mailing Address - Country:US
Mailing Address - Phone:636-236-9578
Mailing Address - Fax:
Practice Address - Street 1:232 S WOODS MILL RD
Practice Address - Street 2:
Practice Address - City:CHESTERFIELD
Practice Address - State:MO
Practice Address - Zip Code:63017-3406
Practice Address - Country:US
Practice Address - Phone:636-236-9578
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TOTAL HEALTH AND PRODUCTIVITY LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-02-22
Last Update Date:2021-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty