National Provider Identifier

Cool Beans Therapy Clubhouse, LLC

Cool Beans Therapy Clubhouse, LLC is listed in the NPPES registry with a primary specialty of Pediatric Occupational Therapist in Cornelius, NC and a listed phone number of (704) 237-4105.

NPI 1801416565Cornelius, NCPediatric Occupational Therapist

Source: public NPPES record, last updated March 26, 2021. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.

Profile Overview

NPI
1801416565
Provider Type
Organization
Primary Specialty
Pediatric Occupational Therapist
Enumeration Date
April 23, 2020
Last Updated
March 26, 2021

Practice Location

  • 17111 Kenton Dr Ste 206B
  • Cornelius, NC 28031-5650

Phone: (704) 237-4105

Authorized Official

Name
Erin R Crome
Title
Owner, Occupational Therapist
Credentials
MOT, OTR/L
Phone
(704) 237-4105

Specialties

  • Pediatric Occupational Therapist (225XP0200X)

Endpoints

  • ecrome@coolbeanstherapyclubhouse.com

    Direct Messaging Address | Direct | Csv | Cornelius, NC 28031

    Business Email

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Full Record
NPI
1801416565
Entity Type
Organization
EIN
<UNAVAIL>
Organization Name
Cool Beans Therapy Clubhouse, LLC
Mailing Street Address
17111 Kenton Dr Ste 206B
Mailing City
Cornelius
Mailing State
NC
Mailing ZIP Code
28031-5650
Mailing Country
US
Mailing Phone
(704) 237-4105
Mailing Fax
(704) 237-4107
Practice Street Address
17111 Kenton Dr Ste 206B
Practice City
Cornelius
Practice State
NC
Practice ZIP Code
28031-5650
Practice Country
US
Practice Phone
(704) 237-4105
Practice Fax
(704) 237-4107
Enumeration Date
April 23, 2020
Last Updated
March 26, 2021
Authorized Official Last Name
Crome
Authorized Official First Name
Erin
Authorized Official Middle Name
R
Authorized Official Title
Owner, Occupational Therapist
Authorized Official Phone
(704) 237-4105
Organization Subpart
No
Authorized Official Credential Text
MOT, OTR/L
Taxonomy Group 1
193400000X Single Specialty Group
Certification Date
March 26, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pediatric Occupational Therapist (225XP0200X)