Optimal Therapeutic Services, Pllc

LBN: Optimal Therapeutic Services, Pllc
Optimal Therapeutic Services, Pllc is an health care organization with primary practice located at 4425 W Airport Fwy Ste 122 , Irving TX 75062-5817. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as the primary health care specialty. Optimal Therapeutic Services, Pllc can be contacted via phone (817) 409-4640, or through Crutchfield, Marnee via phone (832) 338-4711.

Contact Information

Primary practice address
4425 W Airport Fwy Ste 122 Irving TX 75062-5817
Fax:
Website:
Authorized official contact:
Name: Crutchfield, Marnee

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X

Profile Details

NPI number 1639703143
LBN Legal business name Optimal Therapeutic Services, Pllc
DBA Doing business as
Authorized official Crutchfield, Marnee
Entity Organization
Organization subpart 1 No
Enumeration date Feb 24th, 2020
Last updated Feb 26th, 2020 - 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 1639703143 NPPES
Texas MEDICAID 1235322801

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