Provider Demographics
NPI:1730965534
Name:THERAPIST NEED THERAPY 2
Entity type:Organization
Organization Name:THERAPIST NEED THERAPY 2
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:ERICA
Authorized Official - Middle Name:G
Authorized Official - Last Name:REEVEY
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW-S
Authorized Official - Phone:502-377-5521
Mailing Address - Street 1:660 S BAGDAD RD STE 420
Mailing Address - Street 2:
Mailing Address - City:LEANDER
Mailing Address - State:TX
Mailing Address - Zip Code:78641-5049
Mailing Address - Country:US
Mailing Address - Phone:512-337-7293
Mailing Address - Fax:512-337-7295
Practice Address - Street 1:660 S BAGDAD RD STE 420
Practice Address - Street 2:
Practice Address - City:LEANDER
Practice Address - State:TX
Practice Address - Zip Code:78641-5049
Practice Address - Country:US
Practice Address - Phone:512-337-7293
Practice Address - Fax:512-337-7295
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-06
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty