Provider Demographics
NPI:1235944596
Name:INTHERAPY INSTITUTE LLC
Entity type:Organization
Organization Name:INTHERAPY INSTITUTE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER-DIRECTOR-PSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:KONSTANTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:LUKIN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:201-409-0391
Mailing Address - Street 1:80 RIVER ST STE 3E1
Mailing Address - Street 2:
Mailing Address - City:HOBOKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07030-5626
Mailing Address - Country:US
Mailing Address - Phone:201-677-5242
Mailing Address - Fax:
Practice Address - Street 1:80 RIVER ST STE 3E1
Practice Address - Street 2:
Practice Address - City:HOBOKEN
Practice Address - State:NJ
Practice Address - Zip Code:07030-5626
Practice Address - Country:US
Practice Address - Phone:201-677-5242
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-12
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty