Avantgarde Behavioral Health Services Lcsw Pllc
LBN: Avantgarde Behavioral Health Services Lcsw Pllc
Avantgarde Behavioral Health Services Lcsw Pllc is an health care organization with primary practice located at 19 W 34Th St , New York NY 10001-3006. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty.
Avantgarde Behavioral Health Services Lcsw Pllc can be contacted via phone (917) 291-2191, or through Rubinov, Ludmilla via phone (917) 291-2191.
Contact Information
Primary practice address
19 W 34Th St
New York NY 10001-3006
Phone: (917) 291-2191
Fax: (718) 332-2273
Website:
Authorized official contact:
Name: Rubinov, Ludmilla Licensed Clinical Social Worker (LCSW)
Phone: (917) 291-2191
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 077151 | New York |
Profile Details
| NPI number | 1083954077 |
|---|---|
| LBN Legal business name | Avantgarde Behavioral Health Services Lcsw Pllc |
| DBA Doing business as | |
| Authorized official | Rubinov, Ludmilla Licensed Clinical Social Worker (LCSW) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 27th, 2013 |
| Last updated | Feb 27th, 2013 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083954077 | NPPES |
| New York | Other | A400042543 | MEDICARE |
| New York | MEDICAID | 00077151 | MEDICARE |
| New York | Other | 1487737169 | MEDICARE |
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