Provider Demographics
NPI:1306158464
Name:ADVANCE PLUS THERAPY SERVICES, LLC
Entity type:Organization
Organization Name:ADVANCE PLUS THERAPY SERVICES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST
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:832-689-3797
Mailing Address - Fax:713-796-9037
Practice Address - Street 1:5925 KIRBY DR
Practice Address - Street 2:STE. E766
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77005-3150
Practice Address - Country:US
Practice Address - Phone:832-689-3797
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-06
Last Update Date:2021-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX104500235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty