Provider Demographics
NPI:1245620087
Name:ASSESSMENT INTERVENTION MANAGEMENT, LLC
Entity Type:Organization
Organization Name:ASSESSMENT INTERVENTION MANAGEMENT, LLC
Other - Org Name:AIM
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ZACH
Authorized Official - Middle Name:
Authorized Official - Last Name:SALESMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-502-2366
Mailing Address - Street 1:7410 BLANCO RD
Mailing Address - Street 2:STE. 250
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78216-4363
Mailing Address - Country:US
Mailing Address - Phone:713-502-2366
Mailing Address - Fax:
Practice Address - Street 1:7400 BLANCO RD
Practice Address - Street 2:STE. 130
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78216-4360
Practice Address - Country:US
Practice Address - Phone:713-502-2366
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-02
Last Update Date:2016-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty