Provider Demographics
NPI:1194953737
Name:TIS-THERAPEUTIC INTERVENTION SERVICES
Entity type:Organization
Organization Name:TIS-THERAPEUTIC INTERVENTION SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/LEAD THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:GEORGE
Authorized Official - Last Name:NEIFERT
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW-BOARD APP SUPER
Authorized Official - Phone:281-580-9090
Mailing Address - Street 1:6715 SEINFELD CT
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77069-1725
Mailing Address - Country:US
Mailing Address - Phone:281-580-9090
Mailing Address - Fax:281-893-1650
Practice Address - Street 1:6715 SEINFELD CT
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77069-1725
Practice Address - Country:US
Practice Address - Phone:281-580-9090
Practice Address - Fax:281-893-1650
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-22
Last Update Date:2010-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX36199273R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes273R00000XHospital UnitsPsychiatric Unit