Provider Demographics
NPI:1831389592
Name:THERAPEUTIC HEALTH SERVICES
Entity type:Organization
Organization Name:THERAPEUTIC HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LAFREDIA
Authorized Official - Middle Name:F
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:LPC/RN
Authorized Official - Phone:256-543-3557
Mailing Address - Street 1:802 CHESTNUT ST STE A
Mailing Address - Street 2:
Mailing Address - City:GADSDEN
Mailing Address - State:AL
Mailing Address - Zip Code:35901-4083
Mailing Address - Country:US
Mailing Address - Phone:256-543-3557
Mailing Address - Fax:
Practice Address - Street 1:802 CHESTNUT ST STE A
Practice Address - Street 2:
Practice Address - City:GADSDEN
Practice Address - State:AL
Practice Address - Zip Code:35901-4083
Practice Address - Country:US
Practice Address - Phone:256-543-3557
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-30
Last Update Date:2007-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-091481163W00000X
AL2546251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty