Provider Demographics
NPI:1891194072
Name:THERAPY SOLUTIONS CHILDRENS SERVICES
Entity Type:Organization
Organization Name:THERAPY SOLUTIONS CHILDRENS SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:COAXUM
Authorized Official - Suffix:
Authorized Official - Credentials:MACCC
Authorized Official - Phone:610-660-8200
Mailing Address - Street 1:915 MONTGOMERY AVE
Mailing Address - Street 2:SUITE 310
Mailing Address - City:PENN VALLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19072-1548
Mailing Address - Country:US
Mailing Address - Phone:610-660-8200
Mailing Address - Fax:610-660-8208
Practice Address - Street 1:915 MONTGOMERY AVE
Practice Address - Street 2:SUITE 310
Practice Address - City:PENN VALLEY
Practice Address - State:PA
Practice Address - Zip Code:19072-1548
Practice Address - Country:US
Practice Address - Phone:610-660-8200
Practice Address - Fax:610-660-8208
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THERAPY SOLUTIONS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-08-14
Last Update Date:2014-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL011990252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency