Provider Demographics
NPI:1609331131
Name:THERAPIE LLC
Entity Type:Organization
Organization Name:THERAPIE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:DANIELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:URCIULLO
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:857-409-1419
Mailing Address - Street 1:425 PLEASANT 9T.
Mailing Address - Street 2:
Mailing Address - City:BROCKTON
Mailing Address - State:MA
Mailing Address - Zip Code:02301-2535
Mailing Address - Country:US
Mailing Address - Phone:857-409-1419
Mailing Address - Fax:617-507-0569
Practice Address - Street 1:425 PLEASANT 9T.
Practice Address - Street 2:
Practice Address - City:BROCKTON
Practice Address - State:MA
Practice Address - Zip Code:02301-2535
Practice Address - Country:US
Practice Address - Phone:857-409-1419
Practice Address - Fax:617-507-0569
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-08
Last Update Date:2019-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty