Provider Demographics
NPI:1639877335
Name:THERAPY TOGETHER, LCSW, PLLC
Entity Type:Organization
Organization Name:THERAPY TOGETHER, LCSW, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JENNA
Authorized Official - Middle Name:HALLORAN
Authorized Official - Last Name:KARL
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, LICSW
Authorized Official - Phone:617-209-9564
Mailing Address - Street 1:8387 GLEN EAGLE DR
Mailing Address - Street 2:
Mailing Address - City:MANLIUS
Mailing Address - State:NY
Mailing Address - Zip Code:13104-9799
Mailing Address - Country:US
Mailing Address - Phone:617-209-9564
Mailing Address - Fax:
Practice Address - Street 1:8387 GLEN EAGLE DR
Practice Address - Street 2:
Practice Address - City:MANLIUS
Practice Address - State:NY
Practice Address - Zip Code:13104-9799
Practice Address - Country:US
Practice Address - Phone:617-209-9564
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-21
Last Update Date:2023-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health