Pediatric Psychiatric Professional Llc

LBN: Pediatric Psychiatric Professional Llc
Pediatric Psychiatric Professional Llc is an health care organization with primary practice located at 1661 International Dr Ste 400 , Memphis TN 38120-1431. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as the primary health care specialty. Pediatric Psychiatric Professional Llc can be contacted via phone (713) 628-8199, or through Frith, Charles Randale via phone (318) 527-9322.

Contact Information

Primary practice address
1661 International Dr Ste 400 Memphis TN 38120-1431
Phone: (713) 628-8199
Fax: (901) 425-9726
Website:
Map and Directions
Authorized official contact:
Name: Frith, Charles Randale Licensed Clinical Social Worker (LCSW)
Phone: (318) 527-9322

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X

Profile Details

NPI number 1811719834
LBN Legal business name Pediatric Psychiatric Professional Llc
DBA Doing business as
Authorized official Frith, Charles Randale Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 30th, 2024
Last updated Oct 30th, 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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