Provider Demographics
NPI:1588449292
Name:PRACTICAL THERAPY TODAY PLLC
Entity type:Organization
Organization Name:PRACTICAL THERAPY TODAY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:BERRY
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:602-471-3882
Mailing Address - Street 1:7525 E MONTERRA WAY
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85266-7623
Mailing Address - Country:US
Mailing Address - Phone:602-471-3882
Mailing Address - Fax:
Practice Address - Street 1:4742 N 24TH ST STE 300
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85016-9107
Practice Address - Country:US
Practice Address - Phone:602-471-3882
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-30
Last Update Date:2023-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty