Provider Demographics
NPI:1871186213
Name:THERAPY HOUSE LLC
Entity Type:Organization
Organization Name:THERAPY HOUSE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ERICA
Authorized Official - Middle Name:
Authorized Official - Last Name:ARAMBULO
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:912-592-0957
Mailing Address - Street 1:106 4TH ST W
Mailing Address - Street 2:
Mailing Address - City:TIFTON
Mailing Address - State:GA
Mailing Address - Zip Code:31794-4343
Mailing Address - Country:US
Mailing Address - Phone:912-445-3152
Mailing Address - Fax:
Practice Address - Street 1:106 4TH ST W
Practice Address - Street 2:
Practice Address - City:TIFTON
Practice Address - State:GA
Practice Address - Zip Code:31794-4343
Practice Address - Country:US
Practice Address - Phone:912-445-3152
Practice Address - Fax:229-445-3153
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-17
Last Update Date:2021-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty