Provider Demographics
NPI:1548562705
Name:EARLY ADVANTAGE, INC.
Entity Type:Organization
Organization Name:EARLY ADVANTAGE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMY
Authorized Official - Middle Name:RAMSELL
Authorized Official - Last Name:FUREY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-428-0971
Mailing Address - Street 1:2810 STANTON ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77025-2627
Mailing Address - Country:US
Mailing Address - Phone:832-428-0971
Mailing Address - Fax:
Practice Address - Street 1:2810 STANTON ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77025-2627
Practice Address - Country:US
Practice Address - Phone:832-428-0971
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-21
Last Update Date:2010-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX100365235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty