Provider Demographics
NPI:1568044980
Name:THERAHUB LLC
Entity Type:Organization
Organization Name:THERAHUB LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:JULIANE
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHOENHERR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-608-0628
Mailing Address - Street 1:18427 CORNFLOWER RD
Mailing Address - Street 2:
Mailing Address - City:BOYDS
Mailing Address - State:MD
Mailing Address - Zip Code:20841-4337
Mailing Address - Country:US
Mailing Address - Phone:301-704-1692
Mailing Address - Fax:
Practice Address - Street 1:18427 CORNFLOWER RD
Practice Address - Street 2:
Practice Address - City:BOYDS
Practice Address - State:MD
Practice Address - Zip Code:20841-4337
Practice Address - Country:US
Practice Address - Phone:301-704-1692
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-26
Last Update Date:2021-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty