=====================================================
General NPI Number Information
=====================================================
NPI Number | 1073828562
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | THERAPEUTIC SOLUTIONS 101
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/10/2010
-----------------------------------------------------
Last Update Date | 08/10/2010
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2211 ACORN GLEN TRL SUITE 200
-----------------------------------------------------
City | FRESNO
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77545-6084
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 281-972-9365
-----------------------------------------------------
Fax | 281-710-4196
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2211 ACORN GLEN TRL SUITE 200
-----------------------------------------------------
City | FRESNO
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77545-6084
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 281-972-9365
-----------------------------------------------------
Fax | 281-710-4196
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | SPEECH LANGUAGE PATHOLOGIST/CEO
-----------------------------------------------------
Name | MRS. BRANDYE JOHNSON-BATISTE
-----------------------------------------------------
Credential | M.S., CCC-SLP
-----------------------------------------------------
Telephone | 281-972-9365
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number | 103688
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------