Provider Demographics
NPI:1831334192
Name:ESSENTIAL THERAPY SERVICES, INC.
Entity type:Organization
Organization Name:ESSENTIAL THERAPY SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ZARATE
Authorized Official - Suffix:
Authorized Official - Credentials:MSSLP
Authorized Official - Phone:305-321-1077
Mailing Address - Street 1:15271 NW 60TH AVE STE 205
Mailing Address - Street 2:
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33014-2432
Mailing Address - Country:US
Mailing Address - Phone:305-321-1077
Mailing Address - Fax:786-870-5196
Practice Address - Street 1:15271 NW 60TH AVE STE 205
Practice Address - Street 2:
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33014-2432
Practice Address - Country:US
Practice Address - Phone:305-321-1077
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-15
Last Update Date:2022-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
No171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty