Provider Demographics
NPI:1407310931
Name:T BEHNKE THERAPY
Entity Type:Organization
Organization Name:T BEHNKE THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TASHA
Authorized Official - Middle Name:
Authorized Official - Last Name:BEHNKE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:201-240-3113
Mailing Address - Street 1:3893 BANYAN DR
Mailing Address - Street 2:
Mailing Address - City:DANIELSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:18038-9567
Mailing Address - Country:US
Mailing Address - Phone:201-240-3113
Mailing Address - Fax:
Practice Address - Street 1:3893 BANYAN DR
Practice Address - Street 2:
Practice Address - City:DANIELSVILLE
Practice Address - State:PA
Practice Address - Zip Code:18038-9567
Practice Address - Country:US
Practice Address - Phone:201-240-3113
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-29
Last Update Date:2023-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty