Provider Demographics
NPI:1609283266
Name:THYRAPIE, LLC
Entity Type:Organization
Organization Name:THYRAPIE, LLC
Other - Org Name:MARY CONAWAY RITTER, LPC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:C
Authorized Official - Last Name:RITTER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:906-362-1647
Mailing Address - Street 1:102 W WASHINGTON ST
Mailing Address - Street 2:SUITE 114
Mailing Address - City:MARQUETTE
Mailing Address - State:MI
Mailing Address - Zip Code:49855-4368
Mailing Address - Country:US
Mailing Address - Phone:906-362-1647
Mailing Address - Fax:
Practice Address - Street 1:710 CHIPPEWA SQ
Practice Address - Street 2:SUITE 208
Practice Address - City:MARQUETTE
Practice Address - State:MI
Practice Address - Zip Code:49855-4821
Practice Address - Country:US
Practice Address - Phone:906-362-1647
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-16
Last Update Date:2015-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401002600101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty