Provider Demographics
NPI:1982415089
Name:TAECARE THERAPY SERVICES LLC
Entity type:Organization
Organization Name:TAECARE THERAPY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHANTA
Authorized Official - Middle Name:
Authorized Official - Last Name:DENARD CLAY
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:224-425-9388
Mailing Address - Street 1:12049 ALMER LN
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:23836-3081
Mailing Address - Country:US
Mailing Address - Phone:757-550-8374
Mailing Address - Fax:
Practice Address - Street 1:12049 ALMER LN
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:VA
Practice Address - Zip Code:23836-3081
Practice Address - Country:US
Practice Address - Phone:757-550-8374
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-17
Last Update Date:2025-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty