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Contact Information

4THEKIDS SUPPORT SERVICES LLC
110 YELLOWLEAF DR
ENTERPRISE, AL36330-2263
 Phone: 334-390-1002
 Fax: 888-326-3480
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for 4THEKIDS SUPPORT SERVICES LLC

NPI # 1730477159
LBN Legal business name 4THEKIDS SUPPORT SERVICES LLC
Authorized official KAREN PRIDGEN - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 07/19/2011
Last updated 07/19/2011 - About 15 years ago
Identifiers
AL License # 847
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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