Provider Demographics
NPI:1376273524
Name:TRUE THERAPY LLC
Entity Type:Organization
Organization Name:TRUE THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:SYDNEY
Authorized Official - Middle Name:ALEXANDRIA
Authorized Official - Last Name:WASDIN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:251-250-9440
Mailing Address - Street 1:42150 CARLEE LN
Mailing Address - Street 2:
Mailing Address - City:BAY MINETTE
Mailing Address - State:AL
Mailing Address - Zip Code:36507-8455
Mailing Address - Country:US
Mailing Address - Phone:251-583-6321
Mailing Address - Fax:
Practice Address - Street 1:8851 RAND AVE STE B
Practice Address - Street 2:
Practice Address - City:DAPHNE
Practice Address - State:AL
Practice Address - Zip Code:36526-9138
Practice Address - Country:US
Practice Address - Phone:251-250-9440
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-12
Last Update Date:2022-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Multi-Specialty