Provider Demographics
NPI:1255765921
Name:SOUTHERN THERAPY SERVICES, LLC DBA VALLEY THERAPY SERVICES
Entity type:Organization
Organization Name:SOUTHERN THERAPY SERVICES, LLC DBA VALLEY THERAPY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:OLGA
Authorized Official - Middle Name:L
Authorized Official - Last Name:MORIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-607-4362
Mailing Address - Street 1:1801 SOUTH 5TH STREET, STE 109
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78503-1801
Mailing Address - Country:US
Mailing Address - Phone:956-607-4362
Mailing Address - Fax:956-583-1458
Practice Address - Street 1:1801 SOUTH 5TH STREET, STE 109
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78503-1801
Practice Address - Country:US
Practice Address - Phone:956-607-4362
Practice Address - Fax:956-583-1458
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-29
Last Update Date:2013-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty