Therapy 4 the Spirit, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

LC3362 Issued in MD

Legal business name

THERAPY 4 THE SPIRIT, LLC

Practice address

5401 Twin Knolls Rd Ste 9
Columbia, MD 21045-3257

Phone

(410) 884-2848

Fax

(410) 884-2849

NPI assigned

Mar 31, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jacqueline Marie Segue-Wilkins, LCPCNPI 1700939154

Title

Owner, Psychotherapist

Phone

(410) 884-2848

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jacqueline Marie Segue-Wilkins, L.C.P.C., N.C.C

  • Pastoral Counselor
  • Columbia, MD
  • NPI 1700939154
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1490918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490918400000",
    "number": "1245762004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 TWIN KNOLLS RD STE 9",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210453257",
            "telephone_number": "410-884-2848",
            "fax_number": "410-884-2849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 TWIN KNOLLS RD STE 9",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210453257",
            "telephone_number": "410-884-2848",
            "fax_number": "410-884-2849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPY 4 THE SPIRIT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-31",
        "last_updated": "2017-03-31",
        "status": "A",
        "authorized_official_last_name": "SEGUE-WILKINS",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER, PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "410-884-2848",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MD",
            "license": "LC3362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Columbia, MD
• Providers in Columbia, MD by specialty
• Community/Behavioral Health Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.