Provider Demographics
NPI:1588260533
Name:THERAPY NOW LLC
Entity type:Organization
Organization Name:THERAPY NOW LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE-PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBB
Authorized Official - Middle Name:
Authorized Official - Last Name:KORNOELJE
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LLPC
Authorized Official - Phone:616-292-3242
Mailing Address - Street 1:221 TROWBRIDGE ST NE
Mailing Address - Street 2:UNIT 207
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49503
Mailing Address - Country:US
Mailing Address - Phone:616-499-7711
Mailing Address - Fax:
Practice Address - Street 1:221 TROWBRIDGE ST NE
Practice Address - Street 2:UNIT 207
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49503
Practice Address - Country:US
Practice Address - Phone:616-499-7711
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-07
Last Update Date:2020-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty