THEODOREDIS COUNSELING LLC NPI 1528579471

NPI Information

NPI: 1528579471
Provider Name: THEODOREDIS COUNSELING LLC

Doing Business As: THRIVEWORKS

Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
2045 WESTGATE DR STE 206
BETHLEHEM, PA
ZIP 18017
Phone: (610) 730-3422
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THEODOREDIS COUNSELING LLC is a professional counselor in Bethlehem, PA. THEODOREDIS COUNSELING LLC NPI is 1528579471. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Thriveworks.

The provider's business location address is:

2045 WESTGATE DR STE 206
BETHLEHEM, PA
ZIP 18017
Phone: (610) 730-3422

The provider's authorized official is Stan Theodoredis .
The authorized official title is Owner and has the following contact phone number (810) 730-3422.

The enumeration date for this NPI number is 10/18/2017 and was last updated on 6/8/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	CAQH	OTHER		14097224
2	009228	OTHER		LICNESE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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