Provider Demographics
NPI:1801581558
Name:GLOBAL THERAPY SERVICES LLC
Entity type:Organization
Organization Name:GLOBAL THERAPY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KOFOWOROLA
Authorized Official - Middle Name:
Authorized Official - Last Name:EKADI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:817-293-8797
Mailing Address - Street 1:PO BOX 93869
Mailing Address - Street 2:
Mailing Address - City:SOUTHLAKE
Mailing Address - State:TX
Mailing Address - Zip Code:76092-0118
Mailing Address - Country:US
Mailing Address - Phone:817-293-8797
Mailing Address - Fax:
Practice Address - Street 1:12001 SOUTH FWY STE 210
Practice Address - Street 2:
Practice Address - City:BURLESON
Practice Address - State:TX
Practice Address - Zip Code:76028-7214
Practice Address - Country:US
Practice Address - Phone:817-293-8797
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-10
Last Update Date:2023-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
No103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty