Provider Demographics
NPI:1801448428
Name:TOLTEC THERAPY SERVICES
Entity type:Organization
Organization Name:TOLTEC THERAPY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HORTENCIA
Authorized Official - Middle Name:
Authorized Official - Last Name:DIAZ
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:760-834-9008
Mailing Address - Street 1:73550 ALESSANDRO DR STE 200
Mailing Address - Street 2:
Mailing Address - City:PALM DESERT
Mailing Address - State:CA
Mailing Address - Zip Code:92260-3613
Mailing Address - Country:US
Mailing Address - Phone:760-834-9008
Mailing Address - Fax:760-834-7041
Practice Address - Street 1:73550 ALESSANDRO DR STE 200
Practice Address - Street 2:
Practice Address - City:PALM DESERT
Practice Address - State:CA
Practice Address - Zip Code:92260-3613
Practice Address - Country:US
Practice Address - Phone:760-834-9008
Practice Address - Fax:760-834-7041
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-13
Last Update Date:2019-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty