Provider Demographics
NPI:1912659962
Name:MY THERAPIST SOLUTIONS, PLLC
Entity Type:Organization
Organization Name:MY THERAPIST SOLUTIONS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NORELY
Authorized Official - Middle Name:AIDEE
Authorized Official - Last Name:SORRELL
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:325-262-3096
Mailing Address - Street 1:114 RETAMA RD
Mailing Address - Street 2:
Mailing Address - City:BOERNE
Mailing Address - State:TX
Mailing Address - Zip Code:78006-4400
Mailing Address - Country:US
Mailing Address - Phone:325-262-3096
Mailing Address - Fax:
Practice Address - Street 1:114 RETAMA RD
Practice Address - Street 2:
Practice Address - City:BOERNE
Practice Address - State:TX
Practice Address - Zip Code:78006-4400
Practice Address - Country:US
Practice Address - Phone:325-262-3096
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-21
Last Update Date:2022-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health