Psychotherapy Clinic LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1055 Issued in LA

Legal business name

PSYCHOTHERAPY CLINIC LLC

Practice address

2500 Maplewood Dr
Suite 1
Sulphur, LA 70663-6100

Phone

(337) 625-5766

Fax

(225) 208-1056

NPI assigned

Sep 14, 2015

Organization subpart

No

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

Authorized official

Name

Andrew Thrasher, PH.D.

Title

Clinical Director

Phone

(337) 625-5766

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Lawrence Dilks, PHD

  • Clinical Neuropsychologist
  • Sulphur, LA
  • NPI 1497969133
  NPD (past)
• Andrew J Thrasher, PH.D.

  • Clinical Psychologist
  • Sulphur, LA
  • NPI 1073797999
  NPD (past)
• Andrew Justin Thrasher III, PHD

  • Clinical Psychologist
  • Bossier City, LA
  • NPI 1902144645
  NPD (past)

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

{
    "created_epoch": "1442188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442188800000",
    "number": "1902274467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 MAPLEWOOD DR",
            "address_2": "SUITE 1",
            "city": "SULPHUR",
            "state": "LA",
            "postal_code": "706636100",
            "telephone_number": "337-625-5766",
            "fax_number": "225-208-1056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 MAPLEWOOD DR",
            "address_2": "SUITE 1",
            "city": "SULPHUR",
            "state": "LA",
            "postal_code": "706636100",
            "telephone_number": "337-625-5766",
            "fax_number": "225-208-1056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOTHERAPY CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-14",
        "last_updated": "2015-09-14",
        "status": "A",
        "authorized_official_last_name": "THRASHER",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "337-625-5766",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "LA",
            "license": "1055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Possibilities Counseling Services LLC
• Breanna Laine Potter, PHARMD
• Courtney Pressley, CSWD-C
• Private Healthcare Facilities
• Professional Counseling Specialties Inc
• David Wayne Qualls, P.T.
• Timothy Lee Quattrone, MD
• Frankie Reed, LPC
• Rehab Institute, Inc
• Rodney Rentrop Jr., DDS

• Clinical Psychologist in Sulphur, LA
• Providers in Sulphur, LA by specialty
• Clinical Psychologist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.

Verify at the official NPI Registry.