MEDICARE: THERAPEUTIC APPROACHES, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency	2780	LA

General Provider Information

NPI Number	:	1952574121
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THERAPEUTIC APPROACHES, INC

Provider Business Mailing Address
First Line	:	PO BOX 545
Second Line	:
City	:	MONROE
State	:	LA
Zip	:	71210-0545
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7207 DESIARD ST STE 3
Second Line	:
City	:	MONROE
State	:	LA
Zip	:	71203-3914
Country	:	US
Telephone Number	:	318-342-0003
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	STEPHANIE M MARSHALL
Credential	:	LPC
Telephone Number	:	318-342-0003

Provider Enumeration Date	:	04/09/2008
Last Update Date	:	06/26/2008

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