Provider Demographics
NPI:1205167699
Name:THE THERAPY GROUP, L.L.C.
Entity type:Organization
Organization Name:THE THERAPY GROUP, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:K
Authorized Official - Last Name:JOHNSTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-686-0040
Mailing Address - Street 1:P.O. BOX 508
Mailing Address - Street 2:
Mailing Address - City:HAZLEHURST
Mailing Address - State:MS
Mailing Address - Zip Code:39083-0508
Mailing Address - Country:US
Mailing Address - Phone:601-894-5929
Mailing Address - Fax:601-894-2693
Practice Address - Street 1:126 WEST GALLATIN STREET
Practice Address - Street 2:
Practice Address - City:HAZLEHURST
Practice Address - State:MS
Practice Address - Zip Code:39083-2309
Practice Address - Country:US
Practice Address - Phone:601-894-5929
Practice Address - Fax:601-894-2693
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-25
Last Update Date:2012-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy