Provider Demographics
NPI:1558233064
Name:THERAHEALTH LLC
Entity type:Organization
Organization Name:THERAHEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CRYSTAL
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:SIPLING
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:484-416-5263
Mailing Address - Street 1:1830 COLONIAL VILLAGE LN
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601-6729
Mailing Address - Country:US
Mailing Address - Phone:484-416-5263
Mailing Address - Fax:
Practice Address - Street 1:659 S MARSHALL ST
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17602-4607
Practice Address - Country:US
Practice Address - Phone:484-416-5263
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-23
Last Update Date:2025-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty