Provider Demographics
NPI:1275934523
Name:THP COUNSELING AGENCY, LLC
Entity Type:Organization
Organization Name:THP COUNSELING AGENCY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:KELLI
Authorized Official - Middle Name:
Authorized Official - Last Name:LITTLEFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:912-398-8322
Mailing Address - Street 1:PO BOX 1814
Mailing Address - Street 2:
Mailing Address - City:TYBEE ISLAND
Mailing Address - State:GA
Mailing Address - Zip Code:31328-1814
Mailing Address - Country:US
Mailing Address - Phone:912-398-8322
Mailing Address - Fax:912-257-4413
Practice Address - Street 1:132 STEPHENSON AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31405-5828
Practice Address - Country:US
Practice Address - Phone:912-398-8322
Practice Address - Fax:912-257-4413
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-05
Last Update Date:2014-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA007122101YP2500X
GA004467101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty