Provider Demographics
NPI:1013147545
Name:HICKS DEVELOPMENTS, INC.
Entity Type:Organization
Organization Name:HICKS DEVELOPMENTS, INC.
Other - Org Name:THE RETREAT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:PEGGY
Authorized Official - Middle Name:VIRGINIA
Authorized Official - Last Name:HICKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-423-9176
Mailing Address - Street 1:7002 MANCHACA RD STE 200
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78745-5352
Mailing Address - Country:US
Mailing Address - Phone:512-423-9176
Mailing Address - Fax:512-912-9007
Practice Address - Street 1:7002 MANCHACA RD STE 200
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78745-5352
Practice Address - Country:US
Practice Address - Phone:512-423-9176
Practice Address - Fax:512-912-9007
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-17
Last Update Date:2019-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NONE REQUIRED251C00000X
251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services