Provider Demographics
NPI:1912180365
Name:ACCESS THERAPY CONSULTING, LLC
Entity type:Organization
Organization Name:ACCESS THERAPY CONSULTING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:VIRGINIA
Authorized Official - Middle Name:STARR
Authorized Official - Last Name:LEVI
Authorized Official - Suffix:
Authorized Official - Credentials:LOTR, ATP
Authorized Official - Phone:318-613-5888
Mailing Address - Street 1:110 SUNNY HILL DRIVE
Mailing Address - Street 2:
Mailing Address - City:PINEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:71360-0000
Mailing Address - Country:US
Mailing Address - Phone:318-613-5888
Mailing Address - Fax:318-484-9913
Practice Address - Street 1:110 SUNNY HILL DRIVE
Practice Address - Street 2:
Practice Address - City:PINEVILLE
Practice Address - State:LA
Practice Address - Zip Code:71360-0000
Practice Address - Country:US
Practice Address - Phone:318-613-5888
Practice Address - Fax:318-484-9913
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-07
Last Update Date:2008-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAOTT 200040225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty