Provider Demographics
NPI:1982844999
Name:EFFECTIVE THERAPY CONSULTANTS,PA.LLC
Entity type:Organization
Organization Name:EFFECTIVE THERAPY CONSULTANTS,PA.LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:FAUZIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAH
Authorized Official - Suffix:
Authorized Official - Credentials:MSW,LCSW
Authorized Official - Phone:919-872-9974
Mailing Address - Street 1:189 WIND CHIME CT
Mailing Address - Street 2:SUITE 203
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27615-6479
Mailing Address - Country:US
Mailing Address - Phone:919-872-9974
Mailing Address - Fax:919-872-9975
Practice Address - Street 1:189 WIND CHIME CT
Practice Address - Street 2:SUITE 203
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27615-6479
Practice Address - Country:US
Practice Address - Phone:919-872-9974
Practice Address - Fax:919-872-9975
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-03
Last Update Date:2009-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty