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Organization

THE THERAPY VILLAGE INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JERRE VANDENBENT (AUTHORIZED OFFICIAL)
(214) 514-1897
Entity
Organization

Contact information

Practice address
14815 CYPRESS N. HOUSTON ROAD, SUITE A, CYPRESS, TX 77429-6182
(281) 477-9500
(281) 477-9563
Mailing address
14815 CYPRESS NORTH HOUSTON RD STE A, CYPRESS, TX 77429-6182
(281) 477-9500
(281) 477-9563

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1787733501
TX
Enumeration date
10/12/2006
Last updated
01/16/2026
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