Provider Demographics
NPI:1275070286
Name:ONLINE THERAPY ASSOCIATION. INC
Entity Type:Organization
Organization Name:ONLINE THERAPY ASSOCIATION. INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COFOUNDER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMEN
Authorized Official - Middle Name:CURRIER
Authorized Official - Last Name:PENNEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-935-2747
Mailing Address - Street 1:833 SHAWMUT AVE
Mailing Address - Street 2:
Mailing Address - City:NEW BEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:02746-1315
Mailing Address - Country:US
Mailing Address - Phone:401-935-2747
Mailing Address - Fax:
Practice Address - Street 1:833 SHAWMUT AVE
Practice Address - Street 2:
Practice Address - City:NEW BEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02746-1315
Practice Address - Country:US
Practice Address - Phone:401-935-2747
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-28
Last Update Date:2017-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health