Healthcare Provider Details

I. General information

NPI: 1659683571
Provider Name (Legal Business Name): OPEN MY WORLD THERAPEUTIC RIDING CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2010
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1020 COUNTY ROAD 270
LEANDER TX
78641-1351
US

IV. Provider business mailing address

1020 COUNTY ROAD 270
LEANDER TX
78641-1351
US

V. Phone/Fax

Practice location:
  • Phone: 512-259-6665
  • Fax:
Mailing address:
  • Phone: 512-259-6665
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number74653
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code222Q00000X
TaxonomyDevelopmental Therapist
License Number74653
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number9
License Number StateTX

VIII. Authorized Official

Name: DONNA ROLAND
Title or Position: DIRECTOR
Credential: MA SPECIAL EDUCATION
Phone: 512-259-6665