409 Therapy Services, Pllc

LBN: 409 Therapy Services, Pllc
409 Therapy Services, Pllc is an health care organization with primary practice located at 139 Private Road 5396 , Kirbyville TX 75956-3235. The organization recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as the primary health care specialty. 409 Therapy Services, Pllc can be contacted via phone (409) 449-5498, or through Petty, Jessica via phone (409) 289-1426.

Contact Information

Primary practice address
139 Private Road 5396 Kirbyville TX 75956-3235
Phone: (409) 449-5498
Fax: (409) 449-6079
Website:
Map and Directions
Authorized official contact:
Name: Petty, Jessica M.S. CCC-SLP
Phone: (409) 289-1426

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X

Profile Details

NPI number 1972240166
LBN Legal business name 409 Therapy Services, Pllc
DBA Doing business as
Authorized official Petty, Jessica M.S. CCC-SLP
Entity Organization
Organization subpart 1 No
Enumeration date May 18th, 2022
Last updated Jun 27th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972240166 NPPES
Texas MEDICAID 1457784167

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