Provider Demographics
NPI:1679040091
Name:EXPRESS YOURSELF THERAPY SOLUTIONS, LLC
Entity Type:Organization
Organization Name:EXPRESS YOURSELF THERAPY SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NATALIE
Authorized Official - Middle Name:J
Authorized Official - Last Name:EVANS
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:972-709-5437
Mailing Address - Street 1:407 W DANIELDALE RD # 100
Mailing Address - Street 2:
Mailing Address - City:DUNCANVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75137-3927
Mailing Address - Country:US
Mailing Address - Phone:972-709-5437
Mailing Address - Fax:
Practice Address - Street 1:407 W. DANIELDALE ROAD
Practice Address - Street 2:SUITE #100
Practice Address - City:DUNCANVILLE
Practice Address - State:TX
Practice Address - Zip Code:75137-3927
Practice Address - Country:US
Practice Address - Phone:972-709-5437
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-24
Last Update Date:2018-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty