1619585874 NPI number — QUALITY PT SERVICES, LLC

Table of content: DR. TRACEY THIBODEAU LPC, LAC, EDD (NPI 1356161715)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1619585874 NPI number — QUALITY PT SERVICES, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
QUALITY PT SERVICES, LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1619585874
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/14/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6420 POLARIS DR STE 2A
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LAREDO
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
78041-2064
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
956-744-1027
Provider Business Mailing Address Fax Number:
956-750-8052

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6420 POLARIS DR STE 2A
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LAREDO
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78041-2064
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
956-744-1027
Provider Business Practice Location Address Fax Number:
956-750-8052
Provider Enumeration Date:
07/14/2020

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
ALVARADO
Authorized Official First Name:
TITO
Authorized Official Middle Name:
J
Authorized Official Title or Position:
ADMINISTRATOR
Authorized Official Telephone Number:
956-744-1027

Provider Taxonomy Codes

  • Taxonomy code: 225200000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)