THERAPY BASED LTD
NPI 1417733916
Counselor - Professional in Philadelphia, PA
About Therapy Based Ltd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THERAPY BASED LTD (NPI 1417733916) is a healthcare organization registered as a professional in Philadelphia, Pennsylvania and active in the NPI registry since August 2023. The organization lists Kyle Marcus Gilliam, Licensed Professional Counselor, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Group Practice 1
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Therapy Based Ltd's NPI number?
The NPI number for Therapy Based Ltd is 1417733916. It was assigned to this organization in the NPPES registry on August 31, 2023.
Where is Therapy Based Ltd located?
Therapy Based Ltd is located at 4049 Haverford Ave Fl 2, Philadelphia, PA 19104. The listed phone number is (215) 839-6867.
What is Therapy Based Ltd's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
When was this NPI record last updated?
The NPPES record for Therapy Based Ltd was last updated on June 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 59 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Therapy Based Ltd · NPI 1417733916
Professional organization in Philadelphia, Pennsylvania. Organization record, active in the CMS NPPES registry since August 31, 2023.
## Identity
- **NPI:** 1417733916 (Entity type: Organization)
- **Enumerated:** August 31, 2023
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **Organization subpart:** No
- **Authorized official:** Kyle Gilliam, LICENSED PROFESSIONAL COUNSELOR
## Practice location
- **Address:** 4049 HAVERFORD AVE FL 2, Philadelphia, PA 19104-1745
- **Phone:** (215) 839-6867
## Record status
- **NPPES last updated:** June 10, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1417733916) · Data from the CMS NPPES public registry.