1215034426 NPI number — LANGUAGE & MOVEMENT

Table of content: (NPI 1215034426)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1215034426 NPI number — LANGUAGE & MOVEMENT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
LANGUAGE & MOVEMENT
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:
1215034426
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/25/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 15024
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
AUSTIN
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
78761-5024
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
512-451-0961
Provider Business Mailing Address Fax Number:
512-451-9745

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
111 W ANDERSON LANE
Provider Second Line Business Practice Location Address:
SUITE C-100
Provider Business Practice Location Address City Name:
AUSTIN
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78752-1119
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
512-451-0961
Provider Business Practice Location Address Fax Number:
512-451-9745
Provider Enumeration Date:
09/20/2006

Additional Information

Authorized Official

Authorized Official Last Name:
MATTHEWS
Authorized Official First Name:
JENNY
Authorized Official Middle Name:
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
512-451-0961

Provider Taxonomy Codes

  • Taxonomy code: 261QD1600X , with the licence number:  0056CM , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261QD1600X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 0056CM . This is a "BCBS PROVIDER ID" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com