Healthcare Provider Details

I. General information

NPI: 1487591681
Provider Name (Legal Business Name): LG THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19588 BEAVER DAM RD
LEWES DE
19958-5537
US

IV. Provider business mailing address

PO BOX 143
LEWES DE
19958-0143
US

V. Phone/Fax

Practice location:
  • Phone: 302-383-0287
  • Fax:
Mailing address:
  • Phone: 302-383-0287
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: ELIZABETH A GALASSO
Title or Position: OWNER/THERAPIST
Credential: LISCW
Phone: 302-383-0287