Provider Demographics
NPI:1477143014
Name:TERAPY4 LLC
Entity Type:Organization
Organization Name:TERAPY4 LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:MEGAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MUNZERT
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:646-673-5639
Mailing Address - Street 1:1736 18TH ST NW APT 105
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20009-6103
Mailing Address - Country:US
Mailing Address - Phone:646-673-5639
Mailing Address - Fax:
Practice Address - Street 1:1025 CONNECTICUT AVE NW STE 100010TH
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20036-5405
Practice Address - Country:US
Practice Address - Phone:202-643-7013
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-18
Last Update Date:2021-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health