Provider Demographics
NPI:1215458880
Name:THERAPY UNLIMITED, LLC
Entity type:Organization
Organization Name:THERAPY UNLIMITED, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LITHONYA
Authorized Official - Middle Name:SHIRIKA
Authorized Official - Last Name:BEVILL
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:662-312-6141
Mailing Address - Street 1:147 STILLHOUSE CREEK DR
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:MS
Mailing Address - Zip Code:39110-6943
Mailing Address - Country:US
Mailing Address - Phone:662-312-6141
Mailing Address - Fax:601-510-9324
Practice Address - Street 1:751 AVIGNON DR STE C
Practice Address - Street 2:
Practice Address - City:RIDGELAND
Practice Address - State:MS
Practice Address - Zip Code:39157-5161
Practice Address - Country:US
Practice Address - Phone:662-312-6141
Practice Address - Fax:601-510-9324
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-04
Last Update Date:2024-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSC56041041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty