Provider Demographics
NPI:1437861291
Name:ELITE STRESS MANAGEMENT
Entity Type:Organization
Organization Name:ELITE STRESS MANAGEMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATION OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:AMIRAH
Authorized Official - Middle Name:
Authorized Official - Last Name:BOYO
Authorized Official - Suffix:
Authorized Official - Credentials:LMT, MMT
Authorized Official - Phone:469-223-0259
Mailing Address - Street 1:279 N INTERSTATE 35 E STE A
Mailing Address - Street 2:
Mailing Address - City:DESOTO
Mailing Address - State:TX
Mailing Address - Zip Code:75115-5299
Mailing Address - Country:US
Mailing Address - Phone:972-217-3706
Mailing Address - Fax:
Practice Address - Street 1:279 N INTERSTATE 35 E STE A
Practice Address - Street 2:
Practice Address - City:DESOTO
Practice Address - State:TX
Practice Address - Zip Code:75115-5299
Practice Address - Country:US
Practice Address - Phone:972-217-3706
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AGNS CORPORATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-12-22
Last Update Date:2022-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes202D00000XAllopathic & Osteopathic PhysiciansIntegrative MedicineGroup - Multi-Specialty
No173C00000XOther Service ProvidersReflexologistGroup - Multi-Specialty
No225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation PractitionerGroup - Multi-Specialty
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty