THE THERAPY SPACE LLC


Address: 1084 E Lancaster Ave Ste 301, Bryn Mawr, PA 19010-1515
Phone: 2672541175

THE THERAPY SPACE LLC (NPI# 1255930392) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255930392
Entity Type Organization
Organization Name THE THERAPY SPACE LLC
Practice Address 1084 E Lancaster Ave Ste 301
Bryn Mawr
PA 19010-1515
Mailing Address 8201 Henry Ave Apt Q9
Philadelphia
PA 19128-2250
Practice Telephone 2672541175
Mailing Telephone 2672541175
Enumeration Date 2020-10-20
Last Update Date 2020-10-20
Authorized Official Name PATRICIA L EVANS (OWNER)
Authorized Official Telephone 2672541175
Authorized Official Credential LPC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
Ambulatory Health Care Facilities

Office Location

Street Address 1084 E LANCASTER AVE STE 301
City BRYN MAWR
State PA
Zip Code 19010-1515

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1003462169 Nada Farag Dentist 275 S Bryn Mawr Ave., #d04, Bryn Mawr, PA 19010 2019-08-14
1841764669 For Eyes Optical of Pa Optometrist 1211 W Lancaster Ave, Rosemont, PA 19010 2019-01-15
1205355617 Julia Peyton Vollmer Student in an Organized Health Care Education/Training Program 415 S Ithan Ave, Bryn Mawr, PA 19010 2017-09-18
1235657081 Megan Christine Rosenblatt Nurse Practitioner 925 W Lancaster Ave Ste 210, Bryn Mawr, PA 19010 2017-08-31
1720511561 Victoria Mckenna Nurse Practitioner 830 Old Lancaster Rd Ste 300, Bryn Mawr, PA 19010 2017-04-08
1922544014 Andrew John D'amico Behavioral Analyst 1030 East Lancaster Ave., Suite L-10, Bryn Mawr, PA 19010 2017-01-12
1487105615 Primal Physical Therapy,llc Physical Therapist 1111 E Lancaster Ave, Bryn Mawr, PA 19010 2016-10-24
1730636234 Denise Lindsay Currier Optometrist 1062 E. Lancaster Ave, Suite 15d, Rosemont, PA 19010 2016-09-01
1518353754 Elise Paquin Student in an Organized Health Care Education/Training Program 135 S Bryn Mawr Ave Ste 205, Bryn Mawr, PA 19010 2015-04-14
1679980064 Main Line Counseling Partners Social Worker 1084 E. Lancaster Avenue, Bryn Mawr, PA 19010 2014-07-17
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Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

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Competitor

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City BRYN MAWR
Zip Code 19010

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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