Childers Professional Service Llc

LBN: Childers Professional Service Llc
Childers Professional Service Llc is an health care organization with primary practice located at 27 Joshua Ln , Central Square NY 13036-2176. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Childers Professional Service Llc can be contacted via phone (315) 383-7531, or through Childers, Daniel Joseph via phone (315) 383-7531.

Contact Information

Primary practice address
27 Joshua Ln Central Square NY 13036-2176
Phone: (315) 383-7531
Fax: (315) 676-0014
Website:
Map and Directions
Authorized official contact:
Name: Childers, Daniel Joseph LCSW-R
Phone: (315) 383-7531

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 0574061 New York

Profile Details

NPI number 1548705064
LBN Legal business name Childers Professional Service Llc
DBA Doing business as
Authorized official Childers, Daniel Joseph LCSW-R
Entity Organization
Organization subpart 1 No
Enumeration date Dec 20th, 2016
Last updated Dec 20th, 2016 - about 10 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 1548705064 NPPES
New York MEDICAID 02426997

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