Provider Demographics
NPI:1689445736
Name:TIME TO THRIVE THERAPY SERVICES, LLC
Entity Type:Organization
Organization Name:TIME TO THRIVE THERAPY SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:SOUCY
Authorized Official - Suffix:
Authorized Official - Credentials:MSOT, OTD
Authorized Official - Phone:254-227-0106
Mailing Address - Street 1:12 UPPER RD # 2
Mailing Address - Street 2:
Mailing Address - City:STAFFORD SPRINGS
Mailing Address - State:CT
Mailing Address - Zip Code:06076-3845
Mailing Address - Country:US
Mailing Address - Phone:254-227-0106
Mailing Address - Fax:
Practice Address - Street 1:12 UPPER RD # 2
Practice Address - Street 2:
Practice Address - City:STAFFORD SPRINGS
Practice Address - State:CT
Practice Address - Zip Code:06076-3845
Practice Address - Country:US
Practice Address - Phone:254-227-0106
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-09
Last Update Date:2024-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty