Provider Demographics
NPI:1134488075
Name:CHATTERBOX THERAPY, LLC.
Entity Type:Organization
Organization Name:CHATTERBOX THERAPY, LLC.
Other - Org Name:CHATTER BOX THERAPY
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:BERNADETTE
Authorized Official - Middle Name:I
Authorized Official - Last Name:MERCADO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-630-6066
Mailing Address - Street 1:1300 N 10TH ST STE 200
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-4392
Mailing Address - Country:US
Mailing Address - Phone:956-630-6066
Mailing Address - Fax:956-630-6069
Practice Address - Street 1:1607 E GRIFFIN PKWY
Practice Address - Street 2:SUITE A
Practice Address - City:MISSION
Practice Address - State:TX
Practice Address - Zip Code:78572-3101
Practice Address - Country:US
Practice Address - Phone:956-599-9260
Practice Address - Fax:956-599-9262
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-13
Last Update Date:2013-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX672650000261QR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX564740000OtherOT FACILITY LICENSE
TX672650000OtherPT FACILITY LICENSE