| Therapy Elite, Llc | |
|
2424 N Pecan St Ste 107a Nacogdoches TX 75965-3586 | |
| (936) 556-1162 | |
| Not Available |
| Full Name | Therapy Elite, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2424 N Pecan St Ste 107a, Nacogdoches, Texas |
| Authorized Official Name and Position | Holly Horton Randall (OWNER/THERAPIST) |
| Authorized Official Contact | 9365561162 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Therapy Elite, Llc 8801 E State Highway 7 Nacogdoches TX 75961-8926 Ph: (936) 556-1162 | Therapy Elite, Llc 2424 N Pecan St Ste 107a Nacogdoches TX 75965-3586 Ph: (936) 556-1162 |
| NPI Number | 1508527300 |
|---|---|
| Provider Enumeration Date | 01/04/2022 |
| Last Update Date | 02/08/2022 |
| Certification Date | 02/08/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508527300 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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