Provider Demographics
NPI:1487377461
Name:THREADS THERAPEUTIC SERVICES LLC
Entity type:Organization
Organization Name:THREADS THERAPEUTIC SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LPC
Authorized Official - Prefix:
Authorized Official - First Name:KATEECE
Authorized Official - Middle Name:
Authorized Official - Last Name:FREEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:470-519-2542
Mailing Address - Street 1:PO BOX 921063
Mailing Address - Street 2:
Mailing Address - City:NORCROSS
Mailing Address - State:GA
Mailing Address - Zip Code:30010-1063
Mailing Address - Country:US
Mailing Address - Phone:470-519-2542
Mailing Address - Fax:678-669-0012
Practice Address - Street 1:6082 TENNYSON PARK WAY
Practice Address - Street 2:
Practice Address - City:NORCROSS
Practice Address - State:GA
Practice Address - Zip Code:30092-3378
Practice Address - Country:US
Practice Address - Phone:470-519-2542
Practice Address - Fax:678-669-0012
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-23
Last Update Date:2022-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty