Child Therapy Lab Llc

LBN: Child Therapy Lab Llc
Child Therapy Lab Llc is an health care organization with primary practice located at 53174 Flowing Stream Ct , South Bend IN 46628-9034. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Child Therapy Lab Llc can be contacted via phone (317) 662-4403, or through Zimmermann, Roniqua Teshae via phone (317) 662-4403.

Contact Information

Primary practice address
53174 Flowing Stream Ct South Bend IN 46628-9034
Phone: (317) 662-4403
Fax: (317) 900-1896
Website:
Map and Directions
Authorized official contact:
Name: Zimmermann, Roniqua Teshae Licensed Clinical Social Worker (LCSW)
Phone: (317) 662-4403

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1952075574
LBN Legal business name Child Therapy Lab Llc
DBA Doing business as
Authorized official Zimmermann, Roniqua Teshae Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 6th, 2021
Last updated Aug 6th, 2021 - about 5 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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