Provider Demographics
NPI:1912570144
Name:THERAPEUTIC SELF CARE
Entity Type:Organization
Organization Name:THERAPEUTIC SELF CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LPC/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GABRIELA
Authorized Official - Middle Name:CATALINA
Authorized Official - Last Name:LOPEZ
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:609-328-0775
Mailing Address - Street 1:427 S XANTHUS AVE
Mailing Address - Street 2:
Mailing Address - City:GALLOWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:08205-4642
Mailing Address - Country:US
Mailing Address - Phone:609-328-0775
Mailing Address - Fax:
Practice Address - Street 1:427 S XANTHUS AVE
Practice Address - Street 2:
Practice Address - City:GALLOWAY
Practice Address - State:NJ
Practice Address - Zip Code:08205-4642
Practice Address - Country:US
Practice Address - Phone:609-328-0775
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-24
Last Update Date:2023-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty