Provider Demographics
NPI:1932727435
Name:CASCADES THERAPY GROUP LLC
Entity Type:Organization
Organization Name:CASCADES THERAPY GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:TAYLOR
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:SPOLTORE
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:864-580-6142
Mailing Address - Street 1:308 E PHEASANT HILL DR
Mailing Address - Street 2:
Mailing Address - City:DUNCAN
Mailing Address - State:SC
Mailing Address - Zip Code:29334-8804
Mailing Address - Country:US
Mailing Address - Phone:423-262-7105
Mailing Address - Fax:
Practice Address - Street 1:306B W POINSETT ST
Practice Address - Street 2:
Practice Address - City:GREER
Practice Address - State:SC
Practice Address - Zip Code:29650-1548
Practice Address - Country:US
Practice Address - Phone:864-580-6142
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-10
Last Update Date:2020-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty