Provider Demographics
NPI:1063900074
Name:THERAPY AND BEYOND OF SOUTH TEXAS, LLC
Entity type:Organization
Organization Name:THERAPY AND BEYOND OF SOUTH TEXAS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:SEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:CRONE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-892-7500
Mailing Address - Street 1:2020 E HEBRON PKWY STE 110
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75007-1609
Mailing Address - Country:US
Mailing Address - Phone:469-892-7500
Mailing Address - Fax:469-575-3002
Practice Address - Street 1:32207 TAMINA RD
Practice Address - Street 2:
Practice Address - City:MAGNOLIA
Practice Address - State:TX
Practice Address - Zip Code:77354-2556
Practice Address - Country:US
Practice Address - Phone:713-364-4654
Practice Address - Fax:469-575-3002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-25
Last Update Date:2018-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health