THIBAULT COUNSELING LLC (NPI# 1104470665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104470665 |
Entity Type | Organization |
Organization Name | THIBAULT COUNSELING LLC |
Practice Address |
2049 North Street Philadelphia PA 19130 |
Practice Telephone | 2679186916 |
Mailing Telephone | 2679186916 |
Enumeration Date | 2019-08-01 |
Last Update Date | 2019-08-01 |
Authorized Official Name | MR. JAMES LAWRENCE THIBAULT (OWNER/PSYCHOTHERAPIST) |
Authorized Official Telephone | 2679186916 |
Authorized Official Credential | LPC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
Street Address |
2049 NORTH STREET |
City | PHILADELPHIA |
State | PA |
Zip Code | 19130 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912518226 | Karen Dybner-madero | Psychologist | 2201 Pennsylvania Avenue, The Parkway House, Suite 101, Philadelphia, PA 19130 | 2020-08-11 |
1689213456 | Nora Marie Corbett | Physical Therapist | 1714 Fairmount Avenue, Philadelphia, PA 19130 | 2019-12-27 |
1619444577 | Rebecca Boova | Dietitian, Registered | 1644 Francis St, #3, Philadelphia, PA 19130 | 2018-10-30 |
1184191108 | Sharon Marie Thompson | Nurse Practitioner | School District of Philadelphia/school Health Services, 440 North Broad Street, Philadelphia, PA 19130 | 2018-10-29 |
1861918542 | Theresa Mary Thompson | Dental Hygienist | Delaware Valley Community Health, 1412 Fairmount Avenue, Philadelphia, PA 19130 | 2017-08-15 |
1023539806 | Marina France | Social Worker | 2401 Pennsylvania Ave Ste 1a2, Philadelphia, PA 19130 | 2017-06-30 |
1619425063 | Sarah Nash | Dietitian, Registered | 420 North 20th Street, Philadelphia, PA 19130 | 2016-09-14 |
1154737757 | Julia Ferrence | Social Worker | 2305 Fairmount Avenue, Philadelphia, PA 19130 | 2014-07-03 |
1811319924 | Larry H Goldberg | Internal Medicine | 2441 Olive Street, Philadelphia, PA 19130 | 2014-01-08 |
1831435676 | Rachel Joy Shanok | Physical Therapist | 627-37 N. 18th St., #201, Philadelphia, PA 19130 | 2012-12-26 |
Find all providers in zip 19130 |
Taxonomy Code | 261QM0850X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Adult Mental Health |
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235738360 | Hallie M. Kushner, Ph.d. P.C. | Clinic/Center | 1601 Walnut St Ste 706, Philadelphia, PA 19102-2904 | 2020-10-20 |
1114534328 | Virtual Sofa, LLC | Clinic/Center | 2005 Market St Ste 3140, Philadelphia, PA 19103-7001 | 2020-09-30 |
1942819958 | Shay Selden, Psyd, Med, LLC | Clinic/Center | 1411 S 15th St, Philadelphia, PA 19146-4803 | 2020-07-26 |
1952939068 | King Motivates, LLC | Clinic/Center | 1939 Page St, Philadelphia, PA 19121-1513 | 2020-04-01 |
1235781220 | Annie Strout Counseling LLC | Clinic/Center | 1713 S Dorrance St, Philadelphia, PA 19145-2108 | 2019-07-10 |
1497170625 | Citywide Community Counseling Services | Clinic/Center | 537 E. Allegheny Avenue, Apt/suite, Philadelphia, PA 19134 | 2014-02-25 |
1598189771 | Citywide Community Counseling Services | Clinic/Center | 1346 Knorr St, Philadelphia, PA 19149 | 2014-02-10 |
1780008961 | Citywide Community Counseling Services | Clinic/Center | 137 E. Allegheny Avenue, Philadelphia, PA 19134 | 2014-02-10 |
1114341328 | Citywide Community Counseling Services | Clinic/Center | 5807 Bustleton Avenue, Philadelphia, PA 19149 | 2014-02-07 |
1356605455 | Interamerican Behavioral Health Services, Inc. | Clinic/Center | 511 W Courtland St, Philadelphia, PA 19140-1404 | 2012-07-03 |
Find all providers in PHILADELPHIA |
City | PHILADELPHIA |
Zip Code | 19130 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.