Provider Demographics
NPI:1467211862
Name:CPST HEALTHCARE, LLC
Entity Type:Organization
Organization Name:CPST HEALTHCARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:RINELLA
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:945-867-7823
Mailing Address - Street 1:1400 PRESTON RD STE 260
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-5183
Mailing Address - Country:US
Mailing Address - Phone:945-867-7823
Mailing Address - Fax:214-396-3962
Practice Address - Street 1:1400 PRESTON RD STE 260
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-5183
Practice Address - Country:US
Practice Address - Phone:945-867-7823
Practice Address - Fax:214-396-3962
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-18
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty