Angel Intervention Services Llc

LBN: Angel Intervention Services Llc
Angel Intervention Services Llc is an health care organization with primary practice located at 123 S Washington St , Van Wert OH 45891-1707. The organization recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Agencies / Case Management, Ambulatory Health Care Facilities / Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF), Residential Treatment Facilities / Substance Abuse Rehabilitation Facility. Ambulatory Health Care Facilities / Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) is the primary health care specialty. Angel Intervention Services Llc can be contacted via phone (419) 771-1050, or through Conklin, Holly Lyn via phone (918) 500-2570.

Contact Information

Primary practice address
123 S Washington St Van Wert OH 45891-1707
Phone: (419) 771-1050
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Conklin, Holly Lyn CDCA II, CDAC, CIP
Phone: (918) 500-2570

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Agencies / Case Management 251B00000X
Ambulatory Health Care Facilities / Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X

Profile Details

NPI number 1801311121
LBN Legal business name Angel Intervention Services Llc
DBA Doing business as
Authorized official Conklin, Holly Lyn CDCA II, CDAC, CIP
Entity Organization
Organization subpart 1 No
Enumeration date Aug 8th, 2017
Last updated Jul 12th, 2023 - about 3 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 1801311121 NPPES
Ohio MEDICAID 0427664

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