Provider Demographics
NPI:1255119640
Name:THERAPY CAFE LLC
Entity type:Organization
Organization Name:THERAPY CAFE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MRS
Authorized Official - First Name:ALLISON
Authorized Official - Middle Name:
Authorized Official - Last Name:STENSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-295-8955
Mailing Address - Street 1:35 DUKE ST UNIT 763
Mailing Address - Street 2:
Mailing Address - City:PRINCE FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:20678-7528
Mailing Address - Country:US
Mailing Address - Phone:443-295-8955
Mailing Address - Fax:888-883-1589
Practice Address - Street 1:4522 W VILLAGE DR UNIT 1246
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33624-3429
Practice Address - Country:US
Practice Address - Phone:443-295-8955
Practice Address - Fax:888-883-1589
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-18
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty