Provider Demographics
NPI:1831742030
Name:THERAPY ABILENE, PLLC
Entity type:Organization
Organization Name:THERAPY ABILENE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:BLAKESLEE EHRHART
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:325-439-8535
Mailing Address - Street 1:1219 E SOUTH 11TH ST STE B1
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79602-4283
Mailing Address - Country:US
Mailing Address - Phone:325-439-8535
Mailing Address - Fax:
Practice Address - Street 1:1219 E SOUTH 11TH ST STE B1
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79602-4283
Practice Address - Country:US
Practice Address - Phone:325-439-8535
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-17
Last Update Date:2022-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)