Provider Demographics
NPI: | 1679873889 |
---|---|
Name: | ADVANCE PLUS THERAPY SERVICES, LLC |
Entity type: | Organization |
Organization Name: | ADVANCE PLUS THERAPY SERVICES, LLC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | CEO |
Authorized Official - Prefix: | |
Authorized Official - First Name: | ALLISON |
Authorized Official - Middle Name: | J |
Authorized Official - Last Name: | BECKFORD |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | MA, CCC-SLP |
Authorized Official - Phone: | 832-689-3797 |
Mailing Address - Street 1: | 7650 SPRINGHILL ST 701 |
Mailing Address - Street 2: | |
Mailing Address - City: | HOUSTON |
Mailing Address - State: | TX |
Mailing Address - Zip Code: | 77021-6024 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 832-582-6900 |
Mailing Address - Fax: | 713-796-9037 |
Practice Address - Street 1: | 817 SOUTHMORE AVE STE 204 |
Practice Address - Street 2: | |
Practice Address - City: | PASADENA |
Practice Address - State: | TX |
Practice Address - Zip Code: | 77502-1129 |
Practice Address - Country: | US |
Practice Address - Phone: | 832-689-3797 |
Practice Address - Fax: | 713-796-9037 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2010-10-22 |
Last Update Date: | 2021-07-03 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 235Z00000X | Speech, Language and Hearing Service Providers | Speech-Language Pathologist | Group - Multi-Specialty |