Provider Demographics
NPI:1508447681
Name:TEA AND THERAPY, PLLC
Entity Type:Organization
Organization Name:TEA AND THERAPY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED MARRIAGE AND FAMILY THERAP
Authorized Official - Prefix:
Authorized Official - First Name:NATALYA
Authorized Official - Middle Name:
Authorized Official - Last Name:SORLIEN
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:509-657-3815
Mailing Address - Street 1:PO BOX 992
Mailing Address - Street 2:
Mailing Address - City:MOYOCK
Mailing Address - State:NC
Mailing Address - Zip Code:27958-0992
Mailing Address - Country:US
Mailing Address - Phone:252-621-2541
Mailing Address - Fax:
Practice Address - Street 1:307 SURF SCOTER LOOP
Practice Address - Street 2:
Practice Address - City:MOYOCK
Practice Address - State:NC
Practice Address - Zip Code:27958-9712
Practice Address - Country:US
Practice Address - Phone:252-621-2541
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-20
Last Update Date:2021-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty