Provider Demographics
NPI:1851785869
Name:THERAPEUTIC HEALTH ASSOCIATES, LLC
Entity Type:Organization
Organization Name:THERAPEUTIC HEALTH ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:COURTNEY
Authorized Official - Middle Name:
Authorized Official - Last Name:MARSHALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-285-3855
Mailing Address - Street 1:1861 E QUEENS CT
Mailing Address - Street 2:
Mailing Address - City:CROFTON
Mailing Address - State:MD
Mailing Address - Zip Code:21114-2626
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2191 DEFENSE HWY
Practice Address - Street 2:SUITE 314
Practice Address - City:CROFTON
Practice Address - State:MD
Practice Address - Zip Code:21114-2931
Practice Address - Country:US
Practice Address - Phone:410-451-3000
Practice Address - Fax:410-630-7625
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-27
Last Update Date:2015-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty