Provider Demographics
NPI:1679714232
Name:THE THERAPY PLACE PLLC
Entity Type:Organization
Organization Name:THE THERAPY PLACE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:GRETCHEN
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:LAPORTA
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:704-283-2900
Mailing Address - Street 1:P.O. BOX 5011
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:NC
Mailing Address - Zip Code:28111-3521
Mailing Address - Country:US
Mailing Address - Phone:704-283-2900
Mailing Address - Fax:704-283-2977
Practice Address - Street 1:1501 NORTH CHARLOTTE AVE
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:NC
Practice Address - Zip Code:28110-9998
Practice Address - Country:US
Practice Address - Phone:704-283-2900
Practice Address - Fax:704-283-2977
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-11
Last Update Date:2015-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCCOO44181041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty