Healthcare Provider Details

I. General information

NPI: 1932003761
Provider Name (Legal Business Name): THREADED TOGETHER THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 LA POSTA RD UNIT 15
TAOS NM
87571-7240
US

IV. Provider business mailing address

125 LA POSTA RD UNIT 15
TAOS NM
87571-7240
US

V. Phone/Fax

Practice location:
  • Phone: 575-613-8535
  • Fax:
Mailing address:
  • Phone: 575-613-8535
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number StateNULL

VIII. Authorized Official

Name: KATHY ANN THERIOT
Title or Position: OWNER/THERAPIST
Credential: LCSW
Phone: 575-622-0379