Provider Demographics
NPI:1932716438
Name:T.Y.P THERAPY LLC
Entity Type:Organization
Organization Name:T.Y.P THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/LCSW
Authorized Official - Prefix:
Authorized Official - First Name:LATOYA
Authorized Official - Middle Name:
Authorized Official - Last Name:LEWINS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:716-795-6443
Mailing Address - Street 1:180 TALMADGE ROAD
Mailing Address - Street 2:IGO BUILDING, SUITE 771
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08817-0881
Mailing Address - Country:US
Mailing Address - Phone:716-795-6443
Mailing Address - Fax:
Practice Address - Street 1:180 TALMADGE ROAD
Practice Address - Street 2:IGO BUILDING, SUITE 771
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08817-0881
Practice Address - Country:US
Practice Address - Phone:716-795-6443
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-28
Last Update Date:2020-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty