Provider Demographics
NPI:1235887563
Name:THERAPACIFIC LLC
Entity Type:Organization
Organization Name:THERAPACIFIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CERTIFIED HYPNOTHERAPIST & FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:ROCHELLE
Authorized Official - Middle Name:LOANN
Authorized Official - Last Name:PERON
Authorized Official - Suffix:
Authorized Official - Credentials:CHT, MA
Authorized Official - Phone:310-577-2381
Mailing Address - Street 1:1946 TYLER ST STE 9
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33020-4517
Mailing Address - Country:US
Mailing Address - Phone:833-356-9569
Mailing Address - Fax:
Practice Address - Street 1:1946 TYLER ST STE 9
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33020-4517
Practice Address - Country:US
Practice Address - Phone:833-356-9569
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-15
Last Update Date:2022-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty