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Contact Information

BLUE BALLOON IN LLC
9465 COUNSELORS ROW STE 200
INDIANAPOLIS, IN46240-3817
 Phone: 844-854-2583
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Behavior Analyst

103K00000X
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
 

Psychologist

103T00000X 62 Psychologist, Clinical
 

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for BLUE BALLOON IN LLC

NPI # 1821714049
LBN Legal business name BLUE BALLOON IN LLC
Authorized official DAVID SUSSMAN - (MEMBER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/19/2022
Last updated 10/19/2022 - About 4 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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