Therapeutic Alliance Group, Inc.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH6211 Issued in FL

Legal business name

THERAPEUTIC ALLIANCE GROUP, INC.

Practice address

4432 NW 23Rd Ave Ste 4
Gainesville, FL 32606-6560

Phone

(352) 379-4665

Fax

(352) 377-0002

NPI assigned

Apr 15, 2008

Organization subpart

No

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

Authorized official

Name

Heather Shannon Damron, MS, LMHCNPI 1164506846

Title

Director

Phone

(352) 379-4665

Specialties & licenses 4

Addresses

Locations

Practitioners 1

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

• Heather S. Damron, M.S., LMHC

  • Mental Health Counselor
  • Gainesville, FL
  • NPI 1164506846

  Addiction (Substance Use Disorder)

  NPD (past) Authorized official

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

{
    "created_epoch": "1208217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208217600000",
    "number": "1407020928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4432 NW 23RD AVE STE 4",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326066560",
            "telephone_number": "352-379-4665",
            "fax_number": "352-377-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4432 NW 23RD AVE STE 4",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326066560",
            "telephone_number": "352-379-4665",
            "fax_number": "352-377-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPEUTIC ALLIANCE GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-15",
        "last_updated": "2008-04-15",
        "status": "A",
        "authorized_official_last_name": "DAMRON",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "SHANNON",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "352-379-4665",
        "authorized_official_credential": "MS, LMHC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "FL",
            "license": "MH6211",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "MH6211",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH6211",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "FL",
            "license": "MH6211",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The One Room School House Project Inc
• The Orthopaedic Institute PA
• Paul Marvin Theile, CTRS
• Janice Smith Then, MSW
• Karen M Theoktisto, ARNP
• Therapeutic Alliance of Gainesville LLC
• Therapeutic Massage Sarah H Barrett LLC
• Theresa Rodriguez Counseling LLC
• Emily Rebecca Theus, DO
• Sandi P Thibodeau, CRNA

• Mental Health Counselor in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2008; 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.