Provider Type Icon

THERAPEUTIC INTERVENTION EARLY SERVICES INC. NPI 1316176381


NPI Information

NPI: 1316176381
Provider Name: THERAPEUTIC INTERVENTION EARLY SERVICES, INC.

Former Legal Business Name: THERAPEUTIC INTERVENTION EARLY SERVICE, INC.

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
9470 LIVE OAK PL APT 405
DAVIE, FL
ZIP 33324
Phone: (754) 204-0312
Get Directions

THERAPEUTIC INTERVENTION EARLY SERVICES, INC. is a community behavioral health in Davie, FL. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. THERAPEUTIC INTERVENTION EARLY SERVICES, INC. NPI is 1316176381. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Therapeutic Intervention Early Service, Inc..

The provider's business location address is:

9470 LIVE OAK PL APT 405
DAVIE, FL
ZIP 33324-747
Phone: (754) 204-0312
Fax: (954) 302-1830

The provider's authorized official is Paula Locke .
The authorized official title is President and has the following contact phone number (754) 204-0312.

The enumeration date for this NPI number is 7/10/2009 and was last updated on 4/20/2021.


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
1251B00000XCase ManagementCAP3324FLORIDANo
2251C00000XDay Training, Developmentally Disabled ServicesSW9510FLORIDANo
3251S00000XCommunity/Behavioral HealthSW9510FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1761451900MEDICAIDFLORIDA

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.