Mini Miracles Pediatric Therapy

LBN: Fairview Therapy
Mini Miracles Pediatric Therapy is an health care organization with primary practice located at 2214 E Fairview Ave , Johnson City TN 37601-2860. The organization recently has 7 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Speech, Language and Hearing Service Providers / Speech-Language Pathologist, Agencies / Day Training, Developmentally Disabled Services, Agencies / Early Intervention Provider Agency. Agencies / Early Intervention Provider Agency is the primary health care specialty. Fairview Therapy can be contacted via phone (423) 928-6464, or through Brown, Edwin via phone (405) 247-0285.

Contact Information

Primary practice address
2214 E Fairview Ave Johnson City TN 37601-2860
Phone: (423) 928-6464
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Brown, Edwin
Phone: (405) 247-0285

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X
Agencies / Day Training, Developmentally Disabled Services 251C00000X
Agencies / Early Intervention Provider Agency 252Y00000X

Profile Details

NPI number 1831774637
LBN Legal business name Fairview Therapy
DBA Doing business as Mini Miracles Pediatric Therapy
Authorized official Brown, Edwin
Entity Organization
Organization subpart 1 No
Enumeration date Mar 12th, 2021
Last updated Jun 10th, 2024 - about 2 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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