Provider Demographics
NPI:1609535285
Name:THE THERAPY FARM LLC
Entity Type:Organization
Organization Name:THE THERAPY FARM LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:
Authorized Official - Last Name:KALINOWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:847-562-6144
Mailing Address - Street 1:25140 HIGHWAY 18 N
Mailing Address - Street 2:
Mailing Address - City:TOONE
Mailing Address - State:TN
Mailing Address - Zip Code:38381-8114
Mailing Address - Country:US
Mailing Address - Phone:847-562-6144
Mailing Address - Fax:
Practice Address - Street 1:25140 HIGHWAY 18 N
Practice Address - Street 2:
Practice Address - City:TOONE
Practice Address - State:TN
Practice Address - Zip Code:38381-8114
Practice Address - Country:US
Practice Address - Phone:847-562-6144
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-10
Last Update Date:2021-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)Group - Multi-Specialty