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Contact Information

COPING 4 KIDS
900 N WALNUT ST.
BREESE, IL62230
 Phone: 618-830-5312
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for COPING 4 KIDS

NPI Number 1841738457
LBN Legal business name COPING 4 KIDS
Authorized official KRIS FULKERSON - (FOUNDER/PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 02/02/2017
Last updated 02/02/2017 - About 9 years ago
Identifiers
IL License # 149.013537
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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