OTHER SIDE OF TREATMENT PLLC NPI 1245762681

NPI Information

NPI: 1245762681
Provider Name: OTHER SIDE OF TREATMENT, PLLC
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
3619 PAESANOS PKWY
SUITE 302
SHAVANO PARK, TX
ZIP 78231
Phone: (888) 509-2306
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OTHER SIDE OF TREATMENT, PLLC is a rehabilitation and substance use disorder clinic center in Shavano Park, TX. OTHER SIDE OF TREATMENT, PLLC NPI is 1245762681. The provider is registered as an organization entity type.

The provider's business location address is:

3619 PAESANOS PKWY
SUITE 302
SHAVANO PARK, TX
ZIP 78231-253
Phone: (888) 509-2306

The provider's authorized official is Ellen Duncan .
The authorized official title is Managing Member and has the following contact phone number (888) 509-2306.

The enumeration date for this NPI number is 4/3/2017 and was last updated on 9/28/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	4173-4174	TEXAS	Yes
2	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder			No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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