Krissa E Kirby

LBN: Child & Adolescent Treatment Center
Krissa E Kirby is an health care organization with primary practice located at 1950 Lee Rd Suite 202, Winter Park FL 32789-1859. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as the primary health care specialty. Child & Adolescent Treatment Center can be contacted via phone (407) 739-5874, or through Coolidge, Robert C via phone (386) 774-5211.

Contact Information

Primary practice address
1950 Lee Rd Suite 202 Winter Park FL 32789-1859
Phone: (407) 739-5874
Fax: (407) 644-1292
Website:
Map and Directions
Authorized official contact:
Name: Coolidge, Robert C
Phone: (386) 774-5211

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X PY6399 Florida

Profile Details

NPI number 1306039243
LBN Legal business name Child & Adolescent Treatment Center
DBA Doing business as Krissa E Kirby
Authorized official Coolidge, Robert C
Entity Organization
Organization subpart 1 No
Enumeration date Aug 23rd, 2007
Last updated Apr 20th, 2008 - about 18 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 1306039243 NPPES
Florida Other 54725 FL BLUE SHIELD

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