Provider Demographics
NPI:1003385006
Name:TORK TERAPI PLLC
Entity Type:Organization
Organization Name:TORK TERAPI PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:IVY
Authorized Official - Middle Name:
Authorized Official - Last Name:OFORI
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, LCDC
Authorized Official - Phone:830-822-8225
Mailing Address - Street 1:1636 N HAMPTON RD STE 101
Mailing Address - Street 2:
Mailing Address - City:DESOTO
Mailing Address - State:TX
Mailing Address - Zip Code:75115-8600
Mailing Address - Country:US
Mailing Address - Phone:830-822-8225
Mailing Address - Fax:
Practice Address - Street 1:1636 N HAMPTON RD STE 101
Practice Address - Street 2:
Practice Address - City:DESOTO
Practice Address - State:TX
Practice Address - Zip Code:75115-8600
Practice Address - Country:US
Practice Address - Phone:830-822-8225
Practice Address - Fax:972-224-0711
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-19
Last Update Date:2018-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health