Provider Demographics
NPI:1740612530
Name:HEALTHY TRENDS THERAPY SERVICE,PLLC
Entity Type:Organization
Organization Name:HEALTHY TRENDS THERAPY SERVICE,PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:SUSAN
Authorized Official - Last Name:CREECH
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:252-746-2547
Mailing Address - Street 1:3919 LYNDALE DR
Mailing Address - Street 2:
Mailing Address - City:AYDEN
Mailing Address - State:NC
Mailing Address - Zip Code:28513-7127
Mailing Address - Country:US
Mailing Address - Phone:252-746-2547
Mailing Address - Fax:252-746-6646
Practice Address - Street 1:3919 LYNDALE DR
Practice Address - Street 2:
Practice Address - City:AYDEN
Practice Address - State:NC
Practice Address - Zip Code:28513-7127
Practice Address - Country:US
Practice Address - Phone:252-746-2547
Practice Address - Fax:252-746-6646
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-02
Last Update Date:2013-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0382225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty