Provider Demographics
NPI:1760155485
Name:THE SYNERGY STUDIO, LLC
Entity Type:Organization
Organization Name:THE SYNERGY STUDIO, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:ADELLE
Authorized Official - Middle Name:BROWNLEE
Authorized Official - Last Name:BREWER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-872-0751
Mailing Address - Street 1:701 N ALAMO ST # 2
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78215-1812
Mailing Address - Country:US
Mailing Address - Phone:210-824-4225
Mailing Address - Fax:
Practice Address - Street 1:701 N ALAMO ST # 2
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78215-1812
Practice Address - Country:US
Practice Address - Phone:210-824-4225
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-28
Last Update Date:2021-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date: