Provider Demographics
NPI:1982970885
Name:KATHERINE I. THONIS, LLC
Entity Type:Organization
Organization Name:KATHERINE I. THONIS, LLC
Other - Org Name:MILL CREEK COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:LSCW
Authorized Official - Prefix:
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:I
Authorized Official - Last Name:THONIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-801-2732
Mailing Address - Street 1:250 COMMERCIAL ST STE 211
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03101-1142
Mailing Address - Country:US
Mailing Address - Phone:603-801-2732
Mailing Address - Fax:
Practice Address - Street 1:250 COMMERCIAL ST
Practice Address - Street 2:SUITE # 1012 B
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03101-1142
Practice Address - Country:US
Practice Address - Phone:603-801-2732
Practice Address - Fax:603-206-5621
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-26
Last Update Date:2021-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1041C0700X
NH1242261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)Group - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30428812Medicaid
NH1538207477Medicaid