Provider Demographics
NPI:1164281911
Name:VILLAGE THERAPY
Entity type:Organization
Organization Name:VILLAGE THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHELSEA
Authorized Official - Middle Name:D
Authorized Official - Last Name:KADING
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW-S
Authorized Official - Phone:325-386-6300
Mailing Address - Street 1:36 E TWOHIG AVE STE B2
Mailing Address - Street 2:
Mailing Address - City:SAN ANGELO
Mailing Address - State:TX
Mailing Address - Zip Code:76903-6489
Mailing Address - Country:US
Mailing Address - Phone:325-386-6300
Mailing Address - Fax:866-574-3001
Practice Address - Street 1:36 E TWOHIG AVE STE B2
Practice Address - Street 2:
Practice Address - City:SAN ANGELO
Practice Address - State:TX
Practice Address - Zip Code:76903-6489
Practice Address - Country:US
Practice Address - Phone:325-386-6300
Practice Address - Fax:866-574-3001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-14
Last Update Date:2025-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty