Healthcare Provider Details

I. General information

NPI: 1457475980
Provider Name (Legal Business Name): THE THERAPY CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/19/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

542 6TH AVE
HUNTINGTON WV
25701-1912
US

IV. Provider business mailing address

542 6TH AVE
HUNTINGTON WV
25701-1912
US

V. Phone/Fax

Practice location:
  • Phone: 304-522-3544
  • Fax: 740-236-4184
Mailing address:
  • Phone: 304-522-3544
  • Fax: 740-236-4184

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number2006-1980
License Number StateWV
# 2
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number2003-1164
License Number StateWV

VIII. Authorized Official

Name: MS. HILLARY DAWN ROONEY
Title or Position: PRESIDENT
Credential: LMT
Phone: 304-522-3544