Pediatric Behavioral Services, Llc

LBN: Alysia Gilliam Consulting
Pediatric Behavioral Services, Llc is an health care organization with primary practice located at 1335 Kingsley Ave # 2472 , Orange Park FL 32073-4507. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Alysia Gilliam Consulting can be contacted via phone (904) 329-0028, or through Gilliam, Alysia via phone (904) 329-0028.

Contact Information

Primary practice address
1335 Kingsley Ave # 2472 Orange Park FL 32073-4507
Phone: (904) 329-0028
Fax: (866) 818-7176
Website:
Map and Directions
Authorized official contact:
Name: Gilliam, Alysia
Phone: (904) 329-0028

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1790008878
LBN Legal business name Alysia Gilliam Consulting
DBA Doing business as Pediatric Behavioral Services, Llc
Authorized official Gilliam, Alysia
Entity Organization
Organization subpart 1 No
Enumeration date Mar 3rd, 2010
Last updated Feb 28th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790008878 NPPES
Florida MEDICAID 019773100

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