Provider Demographics
NPI:1205109709
Name:CHEERS THERAPY CENTER, LLC
Entity type:Organization
Organization Name:CHEERS THERAPY CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CLAUDIA
Authorized Official - Middle Name:HERNANDEZ
Authorized Official - Last Name:GOMEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MS,CCC-SLP
Authorized Official - Phone:956-565-3200
Mailing Address - Street 1:8030 N FM 1015 STE C
Mailing Address - Street 2:
Mailing Address - City:MERCEDES
Mailing Address - State:TX
Mailing Address - Zip Code:78570-4809
Mailing Address - Country:US
Mailing Address - Phone:956-565-3200
Mailing Address - Fax:956-565-3209
Practice Address - Street 1:8030 N FM 1015 STE C
Practice Address - Street 2:
Practice Address - City:MERCEDES
Practice Address - State:TX
Practice Address - Zip Code:78570-4809
Practice Address - Country:US
Practice Address - Phone:956-565-3200
Practice Address - Fax:956-565-3209
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-14
Last Update Date:2012-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX40186235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty