Provider Demographics
NPI:1760620272
Name:A TO Z THERAPY SERVICES, LLC
Entity Type:Organization
Organization Name:A TO Z THERAPY SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROFESSIONAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:RASHEEDAH
Authorized Official - Middle Name:
Authorized Official - Last Name:FURQAN
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CCC-SLP/L
Authorized Official - Phone:314-749-3826
Mailing Address - Street 1:PO BOX 8172
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63156-8172
Mailing Address - Country:US
Mailing Address - Phone:314-749-3826
Mailing Address - Fax:
Practice Address - Street 1:5841 JULIAN AVE
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63112-2503
Practice Address - Country:US
Practice Address - Phone:314-749-3826
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-22
Last Update Date:2009-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency