Provider Demographics
NPI:1225486046
Name:CLC THERAPY SOLUTIONS LLC
Entity Type:Organization
Organization Name:CLC THERAPY SOLUTIONS LLC
Other - Org Name:CHILDREN'S THERAPY SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:CARRIE
Authorized Official - Middle Name:LEIANNE
Authorized Official - Last Name:CARR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-888-8454
Mailing Address - Street 1:255 ELK DR
Mailing Address - Street 2:SUITE B
Mailing Address - City:BURLESON
Mailing Address - State:TX
Mailing Address - Zip Code:76028-8692
Mailing Address - Country:US
Mailing Address - Phone:817-888-8454
Mailing Address - Fax:817-887-2222
Practice Address - Street 1:255 ELK DR
Practice Address - Street 2:SUITE B
Practice Address - City:BURLESON
Practice Address - State:TX
Practice Address - Zip Code:76028-8692
Practice Address - Country:US
Practice Address - Phone:817-888-8454
Practice Address - Fax:817-887-2222
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-02
Last Update Date:2016-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty