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Contact Information

ADSERVIOR MEDIATION SERVICES, LLC
6220 BLUE RIDGE CUTOFF
STE. 204
RAYTOWN, MO64133-3700
 Phone: 816-737-1538
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Behavior Analyst

103K00000X
 

Addiction (Substance Use Disorder)

101YA0400X
 

Pastoral

101YP1600X
 

Professional

101YP2500X
Indicates primary specialty

NPI Profile & details for ADSERVIOR MEDIATION SERVICES, LLC

NPI # 1255635660
LBN Legal business name ADSERVIOR MEDIATION SERVICES, LLC
Authorized official FLOYD WIGGINS - (DOCTOR, PASTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 12/28/2010
Last updated 12/28/2010 - About 15 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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