Provider Demographics
NPI:1679285092
Name:THE THERAPY NOOK LLC
Entity Type:Organization
Organization Name:THE THERAPY NOOK LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ADRIANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:CALLE
Authorized Official - Suffix:
Authorized Official - Credentials:LIMHP CMSW
Authorized Official - Phone:863-899-8502
Mailing Address - Street 1:742 BORDEAUX ST
Mailing Address - Street 2:
Mailing Address - City:CHADRON
Mailing Address - State:NE
Mailing Address - Zip Code:69337-2613
Mailing Address - Country:US
Mailing Address - Phone:863-899-8502
Mailing Address - Fax:
Practice Address - Street 1:742 BORDEAUX ST
Practice Address - Street 2:
Practice Address - City:CHADRON
Practice Address - State:NE
Practice Address - Zip Code:69337-2613
Practice Address - Country:US
Practice Address - Phone:863-899-8502
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-16
Last Update Date:2022-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty