Provider Demographics
NPI:1164965158
Name:THERAPY-INTERVENTIONS
Entity Type:Organization
Organization Name:THERAPY-INTERVENTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED MENTAL HEALTH THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:COLLEEN
Authorized Official - Middle Name:HILL
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:904-394-2868
Mailing Address - Street 1:10752 DEERWOOD PARK BLVD
Mailing Address - Street 2:SUITE
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32256-4849
Mailing Address - Country:US
Mailing Address - Phone:904-394-2868
Mailing Address - Fax:904-394-2869
Practice Address - Street 1:10752 DEERWOOD PARK BLVD
Practice Address - Street 2:SUITE
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32256-4849
Practice Address - Country:US
Practice Address - Phone:904-394-2868
Practice Address - Fax:904-394-2869
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-23
Last Update Date:2016-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH9809101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty