Theracorp, LLC

NPI #1063947828 in Jamesburg, New Jersey

Provider Information

NPI Number: 1063947828
Entity Type: Organization
Organization Name: Theracorp, LLC
Primary Specialty: Social Worker - Clinical
Enumeration Date: Apr 28, 2017
Last Updated: Nov 11, 2021

Practice Location

Address: 79 E RAILROAD AVE
City: Jamesburg
State: New Jersey
ZIP Code: 08831-1207
Phone: (732) 561-8555

Authorized Official

Name: MRS. ALLA KRUTYANSKY, MSW, LCSW
Title: PRESIDENT
Phone: (973) 207-6834

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Counselor - Mental Health — Mental Health	101YM0800X
Psychologist	103T00000X
Psychologist - Prescribing (Medical) — Prescribing (Medical)	103TP0016X
Psychologist - Group Psychotherapy — Group Psychotherapy	103TP2701X
Marriage & Family Therapist	106H00000X
Social Worker - Clinical — Clinical	1041C0700X	Primary

Additional Practice Locations

271 Route 46 W Ste G201

Fairfield, NJ, 07004-2475

(732) 561-8555

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