Provider Demographics
NPI:1255949558
Name:THERAPY TERRACE COUNSELING CENTER, INC.
Entity type:Organization
Organization Name:THERAPY TERRACE COUNSELING CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:ALINE-VANYA
Authorized Official - Middle Name:
Authorized Official - Last Name:GUILLAUME
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:954-526-6678
Mailing Address - Street 1:1856 N NOB HILL RD # 162
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33322-6548
Mailing Address - Country:US
Mailing Address - Phone:954-526-6678
Mailing Address - Fax:
Practice Address - Street 1:7890 PETERS RD STE G107
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324-4028
Practice Address - Country:US
Practice Address - Phone:954-526-6678
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-22
Last Update Date:2020-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health