Provider Demographics
NPI:1831803782
Name:THERAPEUTIC SKILLS LLC
Entity type:Organization
Organization Name:THERAPEUTIC SKILLS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ANDRE
Authorized Official - Middle Name:
Authorized Official - Last Name:COLE
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:202-375-8250
Mailing Address - Street 1:1765 DUKE ST STE 113
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22314-3401
Mailing Address - Country:US
Mailing Address - Phone:202-375-8250
Mailing Address - Fax:
Practice Address - Street 1:1765 DUKE ST STE 113
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22314-3401
Practice Address - Country:US
Practice Address - Phone:202-375-8250
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-05
Last Update Date:2023-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health