Mini Miracles Pediatric Therapy, Pllc
LBN: Mini Miracles Pediatric Therapy, Pllc
Mini Miracles Pediatric Therapy, Pllc is an health care organization with primary practice located at 2214 E Fairview Ave , Johnson City TN 37601-2860. The organization recently has 2 registered licenses in different health care specialties including Agencies / Day Training, Developmentally Disabled Services, Agencies / Early Intervention Provider Agency. Agencies / Early Intervention Provider Agency is the primary health care specialty.
Mini Miracles Pediatric Therapy, Pllc can be contacted via phone (423) 928-6464, or through Brown, Douglas Edwin via phone (601) 624-1237.
Contact Information
Primary practice address
2214 E Fairview Ave
Johnson City TN 37601-2860
Phone: (423) 928-6464
Fax: (423) 232-7970
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Day Training, Developmentally Disabled Services | 251C00000X | 0119003962 | Virginia |
| Agencies / Early Intervention Provider Agency | 252Y00000X | 4611 | Virginia |
Profile Details
| NPI number | 1477991560 |
|---|---|
| LBN Legal business name | Mini Miracles Pediatric Therapy, Pllc |
| DBA Doing business as | |
| Authorized official | Brown, Douglas Edwin |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 11th, 2013 |
| Last updated | Oct 3rd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477991560 | NPPES |
| Virginia | MEDICAID | 1477991560 |
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