Provider Demographics
NPI:1780182055
Name:THE THERAPY INSTITUTE, LLC
Entity Type:Organization
Organization Name:THE THERAPY INSTITUTE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JACQUELINE
Authorized Official - Middle Name:
Authorized Official - Last Name:SOBOTI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-221-6418
Mailing Address - Street 1:119 AVENUE AT THE CMN STE 5
Mailing Address - Street 2:
Mailing Address - City:SHREWSBURY
Mailing Address - State:NJ
Mailing Address - Zip Code:07702-4586
Mailing Address - Country:US
Mailing Address - Phone:732-221-6418
Mailing Address - Fax:
Practice Address - Street 1:119 AVENUE AT THE CMN STE 5
Practice Address - Street 2:
Practice Address - City:SHREWSBURY
Practice Address - State:NJ
Practice Address - Zip Code:07702-4586
Practice Address - Country:US
Practice Address - Phone:732-221-6418
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-31
Last Update Date:2021-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty