Provider Demographics
NPI:1063203370
Name:MTHERA P.A.
Entity type:Organization
Organization Name:MTHERA P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LIAT
Authorized Official - Middle Name:
Authorized Official - Last Name:HANDING
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:646-438-0437
Mailing Address - Street 1:8601 PLACIDA RD UNIT 523
Mailing Address - Street 2:
Mailing Address - City:PLACIDA
Mailing Address - State:FL
Mailing Address - Zip Code:33946-9020
Mailing Address - Country:US
Mailing Address - Phone:646-438-0437
Mailing Address - Fax:
Practice Address - Street 1:8601 PLACIDA RD UNIT 523
Practice Address - Street 2:
Practice Address - City:PLACIDA
Practice Address - State:FL
Practice Address - Zip Code:33946-9020
Practice Address - Country:US
Practice Address - Phone:646-438-0437
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-15
Last Update Date:2025-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty