Provider Demographics
NPI:1518197664
Name:SPROUTING NEW BEGINNINGS HOME THERAPY LLC
Entity Type:Organization
Organization Name:SPROUTING NEW BEGINNINGS HOME THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH PATHOLOGIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:THANYA
Authorized Official - Middle Name:ODETH
Authorized Official - Last Name:GARZA
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC/SLP
Authorized Official - Phone:956-682-0306
Mailing Address - Street 1:7108 N 23RD ST STE 1B
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-6506
Mailing Address - Country:US
Mailing Address - Phone:956-682-0306
Mailing Address - Fax:956-682-0367
Practice Address - Street 1:7108 N 23RD ST STE 1B
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-6506
Practice Address - Country:US
Practice Address - Phone:956-682-0306
Practice Address - Fax:956-682-0367
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-23
Last Update Date:2013-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health