1427456136 NPI number — EFFECTIVE THERAPY SOLUTIONS, LLC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1427456136 NPI number — EFFECTIVE THERAPY SOLUTIONS, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
EFFECTIVE THERAPY SOLUTIONS, LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
PUZZLE PIECE KIDS
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1427456136
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/11/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
407 W. DANIELDALE ROAD
Provider Second Line Business Mailing Address:
SUITE 100
Provider Business Mailing Address City Name:
DUNCANVILLE
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75137
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
972-288-8101
Provider Business Mailing Address Fax Number:
800-921-7173

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
407 W. DANIELDALE ROAD
Provider Second Line Business Practice Location Address:
SUITE 100
Provider Business Practice Location Address City Name:
DUNCANVILLE
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75137
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
972-288-8101
Provider Business Practice Location Address Fax Number:
800-921-7173
Provider Enumeration Date:
12/11/2014

Additional Information

Authorized Official

Authorized Official Last Name:
EVANS
Authorized Official First Name:
NATALIE
Authorized Official Middle Name:
JONES
Authorized Official Title or Position:
SPEECH-LANGUAGE PATHOLOGIST
Authorized Official Telephone Number:
972-288-8101

Provider Taxonomy Codes

  • Taxonomy code: 235Z00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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