Provider Demographics
NPI:1184908279
Name:MY INFINITE POSSIBILITIES, LLC
Entity type:Organization
Organization Name:MY INFINITE POSSIBILITIES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:LYNCH
Authorized Official - Suffix:
Authorized Official - Credentials:BSW
Authorized Official - Phone:940-381-5400
Mailing Address - Street 1:901 HIGHLAND VILLAGE RD
Mailing Address - Street 2:
Mailing Address - City:LEWISVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75077-6711
Mailing Address - Country:US
Mailing Address - Phone:214-789-4137
Mailing Address - Fax:940-381-5422
Practice Address - Street 1:531 LONDONDERRY LN
Practice Address - Street 2:STE. 132
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76205-5374
Practice Address - Country:US
Practice Address - Phone:940-381-5400
Practice Address - Fax:940-381-5422
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-06
Last Update Date:2011-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services