Provider Demographics
NPI:1164888319
Name:CAPELLI GROUP LLC
Entity Type:Organization
Organization Name:CAPELLI GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:PROF
Authorized Official - First Name:SAMUEL
Authorized Official - Middle Name:V
Authorized Official - Last Name:CAPELLI
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC, CART, CCHT
Authorized Official - Phone:915-799-0614
Mailing Address - Street 1:9739 SOCORRO RD
Mailing Address - Street 2:
Mailing Address - City:SOCORRO
Mailing Address - State:TX
Mailing Address - Zip Code:79927
Mailing Address - Country:US
Mailing Address - Phone:915-231-0371
Mailing Address - Fax:
Practice Address - Street 1:9739 SOCORRO RD
Practice Address - Street 2:
Practice Address - City:SOCORRO
Practice Address - State:TX
Practice Address - Zip Code:79927
Practice Address - Country:US
Practice Address - Phone:915-231-0371
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-04
Last Update Date:2019-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty