Provider Demographics
NPI:1316758618
Name:THERAPY COLLABORATIVE, INC.
Entity type:Organization
Organization Name:THERAPY COLLABORATIVE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MILANA
Authorized Official - Middle Name:
Authorized Official - Last Name:ZANZURI
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:617-360-1010
Mailing Address - Street 1:935 GREAT PLAIN AVE # 125
Mailing Address - Street 2:
Mailing Address - City:NEEDHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02492-3031
Mailing Address - Country:US
Mailing Address - Phone:617-360-1010
Mailing Address - Fax:
Practice Address - Street 1:30 EASTBROOK RD STE 103
Practice Address - Street 2:
Practice Address - City:DEDHAM
Practice Address - State:MA
Practice Address - Zip Code:02026-2083
Practice Address - Country:US
Practice Address - Phone:617-360-1010
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-15
Last Update Date:2025-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty