Provider Demographics
NPI:1811645252
Name:THERAPY COUNSELING MEDICATION SERVICE LLC
Entity type:Organization
Organization Name:THERAPY COUNSELING MEDICATION SERVICE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:FLORENCE
Authorized Official - Middle Name:
Authorized Official - Last Name:OLADOKUN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-652-5808
Mailing Address - Street 1:739 STATE RD STE 5
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02360-5478
Mailing Address - Country:US
Mailing Address - Phone:508-652-5808
Mailing Address - Fax:617-977-1728
Practice Address - Street 1:739 STATE RD STE 5
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02360-5478
Practice Address - Country:US
Practice Address - Phone:508-652-5808
Practice Address - Fax:617-977-1728
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-15
Last Update Date:2022-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health