Provider Demographics
NPI:1073828562
Name:THERAPEUTIC SOLUTIONS 101
Entity Type:Organization
Organization Name:THERAPEUTIC SOLUTIONS 101
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST/CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:BRANDYE
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON-BATISTE
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:281-972-9365
Mailing Address - Street 1:2211 ACORN GLEN TRL
Mailing Address - Street 2:SUITE 200
Mailing Address - City:FRESNO
Mailing Address - State:TX
Mailing Address - Zip Code:77545-6084
Mailing Address - Country:US
Mailing Address - Phone:281-972-9365
Mailing Address - Fax:281-710-4196
Practice Address - Street 1:2211 ACORN GLEN TRL
Practice Address - Street 2:SUITE 200
Practice Address - City:FRESNO
Practice Address - State:TX
Practice Address - Zip Code:77545-6084
Practice Address - Country:US
Practice Address - Phone:281-972-9365
Practice Address - Fax:281-710-4196
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-10
Last Update Date:2010-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX103688251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1619124518OtherTYPE 1 NPI