Provider Demographics
NPI:1780410332
Name:THROUGHLINE THERAPY AND CONSULTING
Entity type:Organization
Organization Name:THROUGHLINE THERAPY AND CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOCIAL WORKER/THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:J
Authorized Official - Last Name:SGARBOSSA
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:312-724-6793
Mailing Address - Street 1:2501 CHATHAM RD # 5546
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:62704-4188
Mailing Address - Country:US
Mailing Address - Phone:312-724-6793
Mailing Address - Fax:
Practice Address - Street 1:5221 N CLARK ST APT 2S
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60640-1691
Practice Address - Country:US
Practice Address - Phone:312-724-6793
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-10
Last Update Date:2024-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty