Provider Demographics
NPI:1871017988
Name:THERAPETIC SOLUTIONS
Entity Type:Organization
Organization Name:THERAPETIC SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:
Authorized Official - Last Name:GAUGHAN
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC
Authorized Official - Phone:800-851-4390
Mailing Address - Street 1:1030 15TH ST NW STE B1-170
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20005-1503
Mailing Address - Country:US
Mailing Address - Phone:1800-851-4390
Mailing Address - Fax:
Practice Address - Street 1:1030 15TH ST, NW
Practice Address - Street 2:SUITE B1-170
Practice Address - City:WASINGTON
Practice Address - State:DC
Practice Address - Zip Code:20005
Practice Address - Country:US
Practice Address - Phone:1800-851-4390
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-31
Last Update Date:2017-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPRC14016101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty