| Organization Name: | MATRIX THERAPY SOLUTIONS, LLC |
| NPI Number: | 1295047769 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BRIDGETTE NEAL BATES (MANAGER/MEMBER) |
| Mailing Address: | 5024 Cut Off Rd Ste B Coushatta |
| State: | LA US |
| Postal Code: | 710195116 |
| Phone Number: | 3185607300 |
| Fax Number: | 3189327946 |
| NPI Enumeration Date: | 07/13/2010 |
| NPI Last Update Date: | 07/13/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM1300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Multi-Specialty |
| Taxonomy Definition: | |