MEDICARE: A TO Z THERAPY MANAGEMENT, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1003153206
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A TO Z THERAPY MANAGEMENT, LLC

Provider Business Mailing Address
First Line	:	5604 DAVIS BLVD.
Second Line	:
City	:	NORTH RICHLAND HILLS
State	:	TX
Zip	:	76180
Country	:	US
Telephone Number	:	817-581-0111
Fax Number	:	866-497-2746

Provider Business Practice Location Address
First Line	:	5604 DAVIS BLVD.
Second Line	:
City	:	NORTH RICHLAND HILLS
State	:	TX
Zip	:	76180
Country	:	US
Telephone Number	:	817-581-0111
Fax Number	:	866-497-2746

Authorized Official
Title or Position	:	SOCIAL WORKER
Name	:	MS. CECILIA TINAJERO
Credential	:	LCSW
Telephone Number	:	817-581-0111

Provider Enumeration Date	:	01/08/2013
Last Update Date	:	02/22/2013

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