Provider Demographics
NPI:1043197742
Name:GROUP THERAPY SOLUTIONS, PLLC
Entity type:Organization
Organization Name:GROUP THERAPY SOLUTIONS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BILLY
Authorized Official - Middle Name:DEAN
Authorized Official - Last Name:RANDOLPH
Authorized Official - Suffix:II
Authorized Official - Credentials:LCSW
Authorized Official - Phone:301-378-4494
Mailing Address - Street 1:919 TINY TOWN RD
Mailing Address - Street 2:UNIT B PMB 1068
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37042-7661
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:919 TINY TOWN RD UNIT B PMB 1068
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37042
Practice Address - Country:US
Practice Address - Phone:301-378-4494
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-18
Last Update Date:2025-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health