Provider Demographics
NPI:1558059246
Name:THE THERAPY OUTLET
Entity Type:Organization
Organization Name:THE THERAPY OUTLET
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AARON
Authorized Official - Middle Name:
Authorized Official - Last Name:SAKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-815-2829
Mailing Address - Street 1:7 BRIDGEWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08701-4749
Mailing Address - Country:US
Mailing Address - Phone:570-815-2829
Mailing Address - Fax:
Practice Address - Street 1:7 BRIDGEWOOD AVE
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08701-4749
Practice Address - Country:US
Practice Address - Phone:570-815-2829
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-01
Last Update Date:2023-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty