Healthcare Provider Details

I. General information

NPI: 1386582948
Provider Name (Legal Business Name): THERAPEUTIC ALLIANCE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/24/2026
Last Update Date: 03/24/2026
Certification Date: 03/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

314 MARLOWE RD
BOILING SPRINGS SC
29316-5629
US

IV. Provider business mailing address

314 MARLOWE RD
BOILING SPRINGS SC
29316-5629
US

V. Phone/Fax

Practice location:
  • Phone: 860-989-7855
  • Fax:
Mailing address:
  • Phone: 860-989-7855
  • 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: JENIFER ROSE ARSENAULT
Title or Position: OWNER
Credential: LISW-CP, LCSW
Phone: 860-989-7855