Provider Demographics
NPI:1346994829
Name:ANOTHER LEVEL THERAPY, LLC
Entity Type:Organization
Organization Name:ANOTHER LEVEL THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICIAN/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:FARRAH
Authorized Official - Middle Name:JANE
Authorized Official - Last Name:CORDERO-SANCHEZ
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC, LPC
Authorized Official - Phone:954-673-9192
Mailing Address - Street 1:1097 SCHOOLHOUSE RD UNIT 705
Mailing Address - Street 2:
Mailing Address - City:HASLET
Mailing Address - State:TX
Mailing Address - Zip Code:76052-3743
Mailing Address - Country:US
Mailing Address - Phone:954-673-9192
Mailing Address - Fax:
Practice Address - Street 1:11532 LEESON ST
Practice Address - Street 2:
Practice Address - City:HASLET
Practice Address - State:TX
Practice Address - Zip Code:76052-3041
Practice Address - Country:US
Practice Address - Phone:954-673-9192
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-04
Last Update Date:2022-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)