Provider Demographics
NPI:1982206207
Name:A&T THERAPY CENTER, LLC
Entity Type:Organization
Organization Name:A&T THERAPY CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALCIRE
Authorized Official - Middle Name:
Authorized Official - Last Name:ARTOLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-548-4957
Mailing Address - Street 1:9050 PINES BLVD STE 335
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33024-6442
Mailing Address - Country:US
Mailing Address - Phone:954-548-4957
Mailing Address - Fax:
Practice Address - Street 1:9050 PINES BLVD STE 335
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33024-6442
Practice Address - Country:US
Practice Address - Phone:954-548-4957
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-11
Last Update Date:2022-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL108677800Medicaid