<Unavail>

LBN: 139 Education, Llc.
<Unavail> is an health care organization with primary practice located at 3148 44Th St Sw , Grandville MI 49418. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as the primary health care specialty. 139 Education, Llc. can be contacted via phone (800) 600-4096, or through Royer, Timothy via phone (800) 600-4096.

Contact Information

Primary practice address
3148 44Th St Sw Grandville MI 49418
Phone: (800) 600-4096
Fax: (800) 606-8839
Website:
Map and Directions
Authorized official contact:
Name: Royer, Timothy Licensed Psychologist (PSY)
Phone: (800) 600-4096

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 6301009353 Michigan

Profile Details

NPI number 1013294628
LBN Legal business name 139 Education, Llc.
DBA Doing business as <Unavail>
Authorized official Royer, Timothy Licensed Psychologist (PSY)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 10th, 2011
Last updated Feb 21st, 2017 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013294628 NPPES
Michigan Other 0D14689 BLUE CROSS BLUE SHIELD OF MICHIGAN

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