Provider Demographics
NPI:1487525788
Name:GNANASAKTHY, THURKA (LSW)
Entity type:Individual
Prefix:
First Name:THURKA
Middle Name:
Last Name:GNANASAKTHY
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 VALLEY RD STE 103
Mailing Address - Street 2:
Mailing Address - City:MOUNT ARLINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07856-1324
Mailing Address - Country:US
Mailing Address - Phone:973-263-0683
Mailing Address - Fax:
Practice Address - Street 1:100 VALLEY RD STE 103
Practice Address - Street 2:
Practice Address - City:MOUNT ARLINGTON
Practice Address - State:NJ
Practice Address - Zip Code:07856-1324
Practice Address - Country:US
Practice Address - Phone:973-263-0683
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-17
Last Update Date:2025-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SL07018300101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health