Provider Demographics
NPI:1609032937
Name:INTERACTIVE THERAPY GROUP CONSULTANTS, INC.
Entity Type:Organization
Organization Name:INTERACTIVE THERAPY GROUP CONSULTANTS, INC.
Other - Org Name:INTERACTIVE THERAPY GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JARED
Authorized Official - Middle Name:
Authorized Official - Last Name:BAUER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-230-8190
Mailing Address - Street 1:19 W 21ST ST
Mailing Address - Street 2:SUITE 701
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10010-6805
Mailing Address - Country:US
Mailing Address - Phone:646-230-8190
Mailing Address - Fax:646-230-8185
Practice Address - Street 1:19 W 21ST ST
Practice Address - Street 2:SUITE 701
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-6805
Practice Address - Country:US
Practice Address - Phone:646-230-8190
Practice Address - Fax:646-230-8185
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AMERICAN LEARNING CORPORATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-08-06
Last Update Date:2013-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency