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NPI Code Detail

MEDICARE: CCI THERAPY

MEDICARE: CCI THERAPY
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
1101YP2500XProfessional Counselor65943TX

General Provider Information

NPI Number : 1538460613
Entity Type Code : Organization
Provider Name (Legal Business Name) : CCI THERAPY
Provider Business Mailing Address
First Line : 1001 E TYLER AVE
Second Line :
City : HARLINGEN
State : TX
Zip : 78550-7135
Country : US
Telephone Number : 956-929-3505
Fax Number : 866-394-0482
Provider Business Practice Location Address
First Line : 1001 E TYLER AVE
Second Line :
City : HARLINGEN
State : TX
Zip : 78550-7135
Country : US
Telephone Number : 956-929-3505
Fax Number : 866-394-0482
Authorized Official
Title or Position : CEO
Name : OLGA FLORES
Credential : L.P.C.
Telephone Number : 956-929-3505
Provider Enumeration Date : 11/05/2010
Last Update Date : 11/05/2010

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Directions to “CCI THERAPY ” Practice Location

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