| The Therapy Place Pllc | |
|
1501 North Charlotte Ave Monroe NC 28110-9998 | |
| (704) 283-2900 | |
| (704) 283-2977 |
| Full Name | The Therapy Place Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 1501 North Charlotte Ave, Monroe, North Carolina |
| Authorized Official Name and Position | Gretchen Marie Laporta (OWNER/THERAPIST) |
| Authorized Official Contact | 7042832900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Therapy Place Pllc P.o. Box 5011 Monroe NC 28111-3521 Ph: (704) 283-2900 | The Therapy Place Pllc 1501 North Charlotte Ave Monroe NC 28110-9998 Ph: (704) 283-2900 |
| NPI Number | 1679714232 |
|---|---|
| Provider Enumeration Date | 03/11/2009 |
| Last Update Date | 04/10/2015 |
| Medicare PECOS PAC ID | 3678622594 |
|---|---|
| Medicare Enrollment ID | O20090526000511 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679714232 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | COO4418 (North Carolina) | Primary |
| Provider Name | Gretchen M Laporta |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629057823 PECOS PAC ID: 8729038948 Enrollment ID: I20050126000234 |
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