Active NPI
Therapeutic Health Associates, LLC
- Psychiatric/Mental Health Nurse Practitioner
- Crofton, MD
National Provider Identifier
1851785869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- THERAPEUTIC HEALTH ASSOCIATES, LLC
- Practice address
- 2191 Defense Hwy
Suite 314
Crofton, MD 21114-2931 - Phone
- (410) 451-3000
- Fax
- (410) 630-7625
- NPI assigned
- Mar 27, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Courtney Marshall
- Title
- Owner
- Phone
- (443) 285-3855
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
2191 Defense Hwy
Suite 314
Crofton, MD 21114-2931
Mailing address
1861 E Queens CT
Crofton, MD 21114-2626
National Provider Directory
National Provider DirectoryLocations
2191 Defense Hwy
Ste 314
Crofton, MD 21114
Phone (410) 451-3000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427414400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1441324800000",
"number": "1851785869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1861 E QUEENS CT",
"city": "CROFTON",
"state": "MD",
"postal_code": "211142626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2191 DEFENSE HWY",
"address_2": "SUITE 314",
"city": "CROFTON",
"state": "MD",
"postal_code": "211142931",
"telephone_number": "410-451-3000",
"fax_number": "410-630-7625"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THERAPEUTIC HEALTH ASSOCIATES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-03-27",
"last_updated": "2015-09-04",
"status": "A",
"authorized_official_last_name": "MARSHALL",
"authorized_official_first_name": "COURTNEY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "443-285-3855",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Crofton, MD
- Jason Ulysses Terry Sr., COTA/L
- The Atlantic Pain Center, LLC
- The Balanced Boob
- The Martin Collective LLC Dba Potters Therapeutic Agency
- The Pediatric Group and Families Too, LLC
- Thomas K. Lo, D.C., M.a., LLC
- Kemmesha Latrice Thomas
- Nirmala Thomas, CRNP
- Sophia Thompson
- Thrive Counseling Teletherapy Services LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.