Glow Therapeutic Services Of Kentucky, Llc

LBN: Glow Therapeutic Services Of Kentucky, Llc
Glow Therapeutic Services Of Kentucky, Llc is an health care organization with primary practice located at 210 W 3Rd St , Owensboro KY 42303-4121. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Glow Therapeutic Services Of Kentucky, Llc can be contacted via phone (812) 453-8543, or through Hubert, Marissa S via phone (812) 453-8543.

Contact Information

Primary practice address
210 W 3Rd St Owensboro KY 42303-4121
Fax: (270) 906-1150
Website:
Authorized official contact:
Name: Hubert, Marissa S LCSW, CADC

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X 3407 Kentucky
Agencies / Community/Behavioral Health 251S00000X 0981 Kentucky

Profile Details

NPI number 1306289293
LBN Legal business name Glow Therapeutic Services Of Kentucky, Llc
DBA Doing business as
Authorized official Hubert, Marissa S LCSW, CADC
Entity Organization
Organization subpart 1 No
Enumeration date Apr 10th, 2013
Last updated Oct 4th, 2013 - about 13 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 1306289293 NPPES
Kentucky Other P400019932 MEDICARE
Kentucky MEDICAID 30603013 MEDICARE

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