Bellflower Lane

LBN: Bellflower Lane
Bellflower Lane is an health care organization with primary practice located at 3124 Milton Rd Suite 231, Charlotte NC 28215-5008. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children, which is considered as the primary health care specialty. Bellflower Lane can be contacted via phone (704) 566-6134, or through Henry, Clarissa via phone (704) 566-6134.

Contact Information

Primary practice address
3124 Milton Rd Suite 231 Charlotte NC 28215-5008
Phone: (704) 566-6134
Fax: (704) 566-6136
Website:
Map and Directions
Authorized official contact:
Name: Henry, Clarissa BA QP QSAPP
Phone: (704) 566-6134

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X MHL-060-575 North Carolina

Profile Details

NPI number 1710056742
LBN Legal business name Bellflower Lane
DBA Doing business as
Authorized official Henry, Clarissa BA QP QSAPP
Entity Organization
Organization subpart 1 No
Enumeration date Nov 6th, 2006
Last updated Aug 22nd, 2020 - about 6 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 1710056742 NPPES
North Carolina MEDICAID 6603949

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