1770909970 NPI number — THERAPEUTIC SESSIONS CORPORATION

Table of content: (NPI 1770909970)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1770909970 NPI number — THERAPEUTIC SESSIONS CORPORATION

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
THERAPEUTIC SESSIONS CORPORATION
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1770909970
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/30/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
611 PA AVE SE
Provider Second Line Business Mailing Address:
#190
Provider Business Mailing Address City Name:
WASHINGTON
Provider Business Mailing Address State Name:
DC
Provider Business Mailing Address Postal Code:
20003-4303
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
202-680-4864
Provider Business Mailing Address Fax Number:
877-382-0040

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3905 DIX ST NE # C-1
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WASHINGTON
Provider Business Practice Location Address State Name:
DC
Provider Business Practice Location Address Postal Code:
20019-1401
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
202-680-4864
Provider Business Practice Location Address Fax Number:
202-847-3769
Provider Enumeration Date:
03/12/2014

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
THOMPSON
Authorized Official First Name:
PATRICIA
Authorized Official Middle Name:
CHARMAINE
Authorized Official Title or Position:
COO
Authorized Official Telephone Number:
202-680-4864

Provider Taxonomy Codes

  • Taxonomy code: 225100000X , with the licence number:  871002 , registered in the state of DC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)