Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X | |||
Clinical |
1041C0700X | 80 | Licensed Clinical Social Worker | |
Counselor |
101Y00000X | |||
Marriage & Family Therapist |
106H00000X |
| NPI # | 1902199326 |
| LBN Legal business name | BEHAVIORAL HEALTH CONSULTING SERVICES LLC |
| Authorized official | DIANE TOBIN - (OWNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 05/18/2011 |
| Last updated | 12/05/2013 - About 13 years ago |
| Identifiers | n/a |
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