Vondracek, Thea

Vondracek, Thea is an sole proprietor health care provider with primary practice located at 1931 New Garden Rd Ste 212 , Greensboro NC 27410-2556. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Vondracek, Thea can be contacted via phone (336) 338-2011.

Contact Information

Primary practice address
1931 New Garden Rd Ste 212 Greensboro NC 27410-2556
Phone: (336) 338-2011
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 1326 North Carolina

Profile Details

NPI number 1700080801
LBN Legal business name Vondracek, Thea
Credentials LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 13th, 2007
Last updated Jun 13th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700080801 NPPES
North Carolina MEDICAID 6103607

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