DR. PHAETRA K. RANEY FOUNDATION , INC; NPI #1225718307

Contact Information

DR. PHAETRA K. RANEY FOUNDATION , INC

313 S 5TH ST STE 7
LAMAR, CO 81052-2755

Phone: 832-363-7877
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Substance Abuse Disorder Rehabilitation Facility	324500000X
Adolescent and Children Mental Health	261QM0855X
Adult Mental Health	261QM0850X
Case Management	251B00000X
Community/Behavioral Health	251S00000X
Mental Health	101YM0800X
Mental Health (Including Community Mental Health Center)	261QM0801X	B4[14]	Community Mental Health Center
Multi-Specialty	261QM1300X	70	Clinic or Group Practice

Indicates primary specialty

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NPI Profile & details for DR. PHAETRA K. RANEY FOUNDATION , INC

NPI Number	`1225718307`
LBN Legal business name	DR. PHAETRA K. RANEY FOUNDATION , INC
Authorized official	PHAETRA RANEY - (CEO)
Entity	Organization
Organization subpart ¹	No
Enumeration date	07/24/2023
Last updated	04/04/2024 - About 2 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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DR. PHAETRA K. RANEY FOUNDATION , INC

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NPI Profile & details for DR. PHAETRA K. RANEY FOUNDATION , INC

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