Organization
THERA MED LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BETHANY JOY CLOSS (OFFICE MANAGER)
(419) 841-2298
Entity
Organization
Contact information
Practice address
6500 W CENTRAL AVE # D-2, TOLEDO, OH 43617-1031
(419) 841-2298
(419) 841-7245
Mailing address
6500 W CENTRAL AVE # D-2, TOLEDO, OH 43617-1031
(419) 841-2298
(419) 841-7245
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
Other
Enumeration date
12/20/2018
Last updated
12/20/2018
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