Provider Demographics
NPI:1295460129
Name:THERAPY OWLS LLC
Entity Type:Organization
Organization Name:THERAPY OWLS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENCED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:DR
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:GOSS
Authorized Official - Last Name:ATANASOV
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:757-232-7108
Mailing Address - Street 1:3493 FRANCES BERKELEY
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:23188
Mailing Address - Country:US
Mailing Address - Phone:757-232-7108
Mailing Address - Fax:
Practice Address - Street 1:3493 FRANCES BERKELEY
Practice Address - Street 2:
Practice Address - City:WILLIAMSBURG
Practice Address - State:VA
Practice Address - Zip Code:23188
Practice Address - Country:US
Practice Address - Phone:757-232-7108
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-24
Last Update Date:2022-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty