Provider Demographics
NPI:1508606674
Name:D-WAY THERAPY SERVICES CORP
Entity type:Organization
Organization Name:D-WAY THERAPY SERVICES CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DANNY
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTINEZ GONZALEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-522-9889
Mailing Address - Street 1:6111 GAZEBO PARK PL N STE 220
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32257-1304
Mailing Address - Country:US
Mailing Address - Phone:305-522-9889
Mailing Address - Fax:786-803-8273
Practice Address - Street 1:6111 GAZEBO PARK PL N STE 220
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32257-1304
Practice Address - Country:US
Practice Address - Phone:305-522-9889
Practice Address - Fax:786-803-8273
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:D-WAY THERAPY SERVICES CORP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-05-28
Last Update Date:2024-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty