Kasey Grass Phd Llc

LBN: Kasey Grass Phd Llc
Kasey Grass Phd Llc is an health care organization with primary practice located at 2401 W Grand St , Springfield MO 65802-4967. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Kasey Grass Phd Llc can be contacted via phone (501) 993-2274, or through Grass, Kasey Nicole via phone (501) 993-2274.

Contact Information

Primary practice address
2401 W Grand St Springfield MO 65802-4967
Phone: (501) 993-2274
Fax: (888) 389-4091
Website:
Map and Directions
Authorized official contact:
Name: Grass, Kasey Nicole PH.D.
Phone: (501) 993-2274

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X 2011019654 Missouri

Profile Details

NPI number 1942550322
LBN Legal business name Kasey Grass Phd Llc
DBA Doing business as
Authorized official Grass, Kasey Nicole PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date Sep 13th, 2012
Last updated Nov 15th, 2012 - about 14 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 1942550322 NPPES
Missouri MEDICAID 1073805909

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