Provider Demographics
NPI:1811733355
Name:THE THERAPY LOUNGE LLC
Entity type:Organization
Organization Name:THE THERAPY LOUNGE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/LPCC
Authorized Official - Prefix:
Authorized Official - First Name:CRASHONDA
Authorized Official - Middle Name:
Authorized Official - Last Name:DUNCAN
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC
Authorized Official - Phone:502-649-2258
Mailing Address - Street 1:4420 TARA AVE
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40216-3047
Mailing Address - Country:US
Mailing Address - Phone:502-489-4007
Mailing Address - Fax:
Practice Address - Street 1:801 BARRET AVE STE 222
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40204-1733
Practice Address - Country:US
Practice Address - Phone:502-489-4007
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-03
Last Update Date:2024-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty