Provider Demographics
NPI:1063821320
Name:SYNERGY CUBED
Entity Type:Organization
Organization Name:SYNERGY CUBED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BEHAVIORAL CONSULTANT
Authorized Official - Prefix:
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:REAMY
Authorized Official - Suffix:
Authorized Official - Credentials:MED
Authorized Official - Phone:409-673-3234
Mailing Address - Street 1:2525 LOUISIANA ST
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77702-1324
Mailing Address - Country:US
Mailing Address - Phone:409-673-3234
Mailing Address - Fax:
Practice Address - Street 1:2525 LOUISIANA ST
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77702-1324
Practice Address - Country:US
Practice Address - Phone:409-673-3234
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-11
Last Update Date:2014-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health