Provider Demographics
NPI:1821572256
Name:THERAPY IN THE GARDEN, LLC
Entity Type:Organization
Organization Name:THERAPY IN THE GARDEN, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LMHC/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BETTYJO
Authorized Official - Middle Name:
Authorized Official - Last Name:CAMP
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:918-521-1997
Mailing Address - Street 1:PO BOX 659
Mailing Address - Street 2:
Mailing Address - City:DUNNELLON
Mailing Address - State:FL
Mailing Address - Zip Code:34430-0659
Mailing Address - Country:US
Mailing Address - Phone:918-521-1997
Mailing Address - Fax:
Practice Address - Street 1:11432 N WILLIAMS ST UNIT 659
Practice Address - Street 2:
Practice Address - City:DUNNELLON
Practice Address - State:FL
Practice Address - Zip Code:34430-7731
Practice Address - Country:US
Practice Address - Phone:918-521-1997
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-21
Last Update Date:2020-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health