1235688730 NPI number — PERKINS THERAPY GROUP, LLC

Table of content: DEBORAH MERRITT PLESCIA CPO (NPI 1609402973)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1235688730 NPI number — PERKINS THERAPY GROUP, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PERKINS THERAPY GROUP, 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:
1235688730
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/19/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
241 N 2ND ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
EUNICE
Provider Business Mailing Address State Name:
LA
Provider Business Mailing Address Postal Code:
70535-3337
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
337-466-0388
Provider Business Mailing Address Fax Number:
337-231-0230

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
241 N 2ND ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
EUNICE
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70535-3337
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
337-466-0388
Provider Business Practice Location Address Fax Number:
337-231-0230
Provider Enumeration Date:
09/25/2016

Additional Information

Authorized Official

Authorized Official Last Name:
PERKINS
Authorized Official First Name:
ASHLY
Authorized Official Middle Name:
DANAE
Authorized Official Title or Position:
OWNER/SPEECH-LANGUAGE PATHOLOGIST
Authorized Official Telephone Number:
337-466-0388

Provider Taxonomy Codes

  • Taxonomy code: 235Z00000X , with the licence number:  7375 , registered in the state of LA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





Copyright © 2007-2026 www.npivalidator.com