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Contact Information

360TEAM PSYCHIATRY LLC
740 COMMERCE DR STE A
PERRYSBURG, OH43551-5276
 Phone: 502-244-2420
 Fax: 502-996-8282
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatric/Mental Health

363LP0808X 50 Nurse Practitioner
 

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for 360TEAM PSYCHIATRY LLC

NPI # 1780267146
LBN Legal business name 360TEAM PSYCHIATRY LLC
Authorized official JOE VAP - (GENERAL MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/04/2021
Last updated 05/04/2021 - About 5 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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