Therapy Elite, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

THERAPY ELITE, LLC

Practice address

2424 N Pecan St Ste 107a
Nacogdoches, TX 75965-3586

Phone

(936) 556-1162

NPI assigned

Jan 4, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Holly Horton Randall, LCSW-SNPI 1649518028

Title

Owner/Therapist

Phone

(936) 556-1162

Specialties & licenses 2

Addresses

Other names 1

• Therapy Elite, LLC Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Holly Horton Randall, LCSW

  • Clinical Social Worker
  • Nacogdoches, TX
  • NPI 1649518028
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1641254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644278400000",
    "number": "1508527300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8801 E STATE HIGHWAY 7",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759618926",
            "telephone_number": "936-556-1162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2424 N PECAN ST STE 107A",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759653586",
            "telephone_number": "936-556-1162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPY ELITE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-04",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A",
        "authorized_official_last_name": "RANDALL",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_middle_name": "HORTON",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "936-556-1162",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW-S"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Therapy Elite, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Therapy Elite, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Clinical Social Worker in Nacogdoches, TX
• Providers in Nacogdoches, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.