Provider Demographics
NPI:1336797430
Name:NOVEL THERAPY, LLC
Entity Type:Organization
Organization Name:NOVEL THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:LANIER
Authorized Official - Last Name:BESLY
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LPC
Authorized Official - Phone:469-269-2826
Mailing Address - Street 1:5813 BENTLEY LN
Mailing Address - Street 2:
Mailing Address - City:THE COLONY
Mailing Address - State:TX
Mailing Address - Zip Code:75056-7100
Mailing Address - Country:US
Mailing Address - Phone:469-269-2826
Mailing Address - Fax:
Practice Address - Street 1:6600 PAIGE RD STE 215
Practice Address - Street 2:
Practice Address - City:THE COLONY
Practice Address - State:TX
Practice Address - Zip Code:75056-4501
Practice Address - Country:US
Practice Address - Phone:469-269-2826
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-31
Last Update Date:2019-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty