Provider Demographics
NPI:1447389226
Name:THERAPY BY THE SEA, LLC
Entity Type:Organization
Organization Name:THERAPY BY THE SEA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR, PSYCHOTHERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:TERRIANA
Authorized Official - Middle Name:RIANA
Authorized Official - Last Name:MILNE
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LMHC, CAP, LPC,
Authorized Official - Phone:201-281-7887
Mailing Address - Street 1:15300 JOG RD STE 109
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33446-2164
Mailing Address - Country:US
Mailing Address - Phone:201-281-7887
Mailing Address - Fax:561-499-3775
Practice Address - Street 1:15300 JOG RD STE 109
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33446-2164
Practice Address - Country:US
Practice Address - Phone:201-281-7887
Practice Address - Fax:561-499-3775
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-05
Last Update Date:2015-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH 12148106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ101YP2500XOtherLPC-LIC PROF. COUNSELOR
NJ101YM0800XOtherMENTAL HEALTH COUNSELOR
NJ106H00000XOtherMARRIAGE & FAMILY COUNSEL
NJ101YS0200XOtherSCHOOL COUNSELOR - SAC
NJ101YA0400XOtherL-CADC SUB ABUSE COUNSELO
NJ101YP1600XOtherPATORAL COUNSELOR