Provider Demographics
NPI:1912331166
Name:THERAPET USA INC
Entity Type:Organization
Organization Name:THERAPET USA INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CLAIRE
Authorized Official - Middle Name:J
Authorized Official - Last Name:FLEISHER BEHAR
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:954-661-6776
Mailing Address - Street 1:5000 N OCEAN BLVD
Mailing Address - Street 2:SUITE 1112
Mailing Address - City:LAUDERDALE BY THE SEA
Mailing Address - State:FL
Mailing Address - Zip Code:33308-2929
Mailing Address - Country:US
Mailing Address - Phone:954-661-6776
Mailing Address - Fax:954-781-7323
Practice Address - Street 1:5000 N OCEAN BLVD
Practice Address - Street 2:SUITE 1112
Practice Address - City:LAUDERDALE BY THE SEA
Practice Address - State:FL
Practice Address - Zip Code:33308-2929
Practice Address - Country:US
Practice Address - Phone:954-661-6776
Practice Address - Fax:954-781-7323
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-23
Last Update Date:2013-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW62971041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty