Provider Demographics
NPI:1912987447
Name:NATURE'S PLACE THERAPYSERVICES, INC.
Entity Type:Organization
Organization Name:NATURE'S PLACE THERAPYSERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:L
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:MA-CCC/SLP
Authorized Official - Phone:863-421-0556
Mailing Address - Street 1:1316 SOUTH BLVD W
Mailing Address - Street 2:
Mailing Address - City:DAVENPORT
Mailing Address - State:FL
Mailing Address - Zip Code:33837-9093
Mailing Address - Country:US
Mailing Address - Phone:863-421-0556
Mailing Address - Fax:863-421-0467
Practice Address - Street 1:1316 SOUTH BLVD W
Practice Address - Street 2:
Practice Address - City:DAVENPORT
Practice Address - State:FL
Practice Address - Zip Code:33837-9093
Practice Address - Country:US
Practice Address - Phone:863-421-0556
Practice Address - Fax:863-421-0467
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT 6319225X00000X
FLOT 11338225X00000X
FLSA4011235Z00000X
FLSA1781235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty
Not Answered235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty