Provider Demographics
NPI:1093045817
Name:THERAPEUTIC HEALTHCARE CONCEPTS, LLC
Entity Type:Organization
Organization Name:THERAPEUTIC HEALTHCARE CONCEPTS, LLC
Other - Org Name:JOURNEY REHAB
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-542-9367
Mailing Address - Street 1:6129 DIXIE LN
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:LA
Mailing Address - Zip Code:71301-2226
Mailing Address - Country:US
Mailing Address - Phone:318-542-9367
Mailing Address - Fax:
Practice Address - Street 1:6129 DIXIE LN
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:LA
Practice Address - Zip Code:71301-2226
Practice Address - Country:US
Practice Address - Phone:318-542-9367
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-29
Last Update Date:2009-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health