Epiphany Integrated Care Services, Llc

LBN: Epiphany Integrated Care Services, Llc
Epiphany Integrated Care Services, Llc is an health care organization with primary practice located at 4921 Albemarle Rd Suite 203, Charlotte NC 28205-6654. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as the primary health care specialty. Epiphany Integrated Care Services, Llc can be contacted via phone (704) 236-4067, or through Millner, Vera H via phone (704) 236-4067.

Contact Information

Primary practice address
4921 Albemarle Rd Suite 203 Charlotte NC 28205-6654
Phone: (704) 236-4067
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Millner, Vera H
Phone: (704) 236-4067

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X

Profile Details

NPI number 1093137093
LBN Legal business name Epiphany Integrated Care Services, Llc
DBA Doing business as
Authorized official Millner, Vera H
Entity Organization
Organization subpart 1 No
Enumeration date Jan 9th, 2014
Last updated Jan 9th, 2014 - about 12 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 1093137093 NPPES
North Carolina MEDICAID 01

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