Provider Demographics
NPI:1316572431
Name:THELANER THERAPY LLC
Entity type:Organization
Organization Name:THELANER THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:
Authorized Official - Last Name:THELANER
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:253-256-7680
Mailing Address - Street 1:104 W MEEKER STE E
Mailing Address - Street 2:
Mailing Address - City:PUYALLUP
Mailing Address - State:WA
Mailing Address - Zip Code:98371-8901
Mailing Address - Country:US
Mailing Address - Phone:253-256-7680
Mailing Address - Fax:253-256-7692
Practice Address - Street 1:104 W MEEKER STE E
Practice Address - Street 2:
Practice Address - City:PUYALLUP
Practice Address - State:WA
Practice Address - Zip Code:98371-8901
Practice Address - Country:US
Practice Address - Phone:253-256-7680
Practice Address - Fax:253-256-7692
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-09
Last Update Date:2020-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty