Clear Source Therapy And Clinical Resource Center Llc

LBN: Clear Source Therapy And Clinical Resource Center Llc
Clear Source Therapy And Clinical Resource Center Llc is an health care organization with primary practice located at 392 Falls Ave , Twin Falls ID 83301-3373. The organization recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Speech, Language and Hearing Service Providers / Speech-Language Pathologist is the primary health care specialty. Clear Source Therapy And Clinical Resource Center Llc can be contacted via phone (208) 749-3475, or through Kelsey, Ezekiel via phone (208) 320-5686.

Contact Information

Primary practice address
392 Falls Ave Twin Falls ID 83301-3373
Phone: (208) 749-3475
Fax: (208) 450-2408
Website:
Map and Directions
Authorized official contact:
Name: Kelsey, Ezekiel M.S., CCC-SLP
Phone: (208) 320-5686

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X

Profile Details

NPI number 1205571668
LBN Legal business name Clear Source Therapy And Clinical Resource Center Llc
DBA Doing business as
Authorized official Kelsey, Ezekiel M.S., CCC-SLP
Entity Organization
Organization subpart 1 No
Enumeration date Apr 30th, 2022
Last updated Mar 15th, 2023 - about 3 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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