Provider Demographics
NPI:1063102390
Name:THERATORY COUNSELING SERVICES
Entity type:Organization
Organization Name:THERATORY COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:SNEHA
Authorized Official - Middle Name:M
Authorized Official - Last Name:CARR
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:818-253-1275
Mailing Address - Street 1:4160 TEMESCAL CANYON RD STE 401
Mailing Address - Street 2:
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92883-4626
Mailing Address - Country:US
Mailing Address - Phone:818-253-1275
Mailing Address - Fax:
Practice Address - Street 1:4160 TEMESCAL CANYON RD STE 401
Practice Address - Street 2:
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92883-4626
Practice Address - Country:US
Practice Address - Phone:818-253-1275
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-10
Last Update Date:2023-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty