Provider Demographics
NPI:1295140663
Name:THERA-POST LLC.
Entity type:Organization
Organization Name:THERA-POST LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARIYA
Authorized Official - Middle Name:
Authorized Official - Last Name:NAUMENKO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-463-6286
Mailing Address - Street 1:3041 BRIGHTON 2ND ST
Mailing Address - Street 2:GROUND FLOOR, BOX 8
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-7453
Mailing Address - Country:US
Mailing Address - Phone:718-975-0593
Mailing Address - Fax:
Practice Address - Street 1:3041 BRIGHTON 2ND ST
Practice Address - Street 2:GROUND FLOOR, BOX 8
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-7453
Practice Address - Country:US
Practice Address - Phone:718-975-0593
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-24
Last Update Date:2014-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities
No251S00000XAgenciesCommunity/Behavioral Health
No252Y00000XAgenciesEarly Intervention Provider Agency
No320700000XResidential Treatment FacilitiesResidential Treatment Facility, Physical Disabilities