Center For Self Care Csc

LBN: Children In Balance Psychological Associates Llc
Center For Self Care Csc is an health care organization with primary practice located at 575 E Main Rd 4, Middletown RI 02842-5528. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical, Agencies / Community/Behavioral Health. Behavioral Health & Social Service Providers / Mental Health is the primary health care specialty. Children In Balance Psychological Associates Llc can be contacted via phone (508) 962-7364, or through Bourquin, Tiffany via phone (508) 962-7364.

Contact Information

Primary practice address
575 E Main Rd 4 Middletown RI 02842-5528
Phone: (508) 962-7364
Fax: (401) 619-7766
Website:
Map and Directions
Authorized official contact:
Name: Bourquin, Tiffany LMHC
Phone: (508) 962-7364

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 00547 Rhode Island
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 6722 Massachusetts
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 7566 Massachusetts
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 7566 Rhode Island
Behavioral Health & Social Service Providers / Clinical 1041C0700X CSW01724 Rhode Island
Behavioral Health & Social Service Providers / Clinical 1041C0700X 02472 Rhode Island
Agencies / Community/Behavioral Health 251S00000X MHC00502 Rhode Island
Agencies / Community/Behavioral Health 251S00000X 7566 Massachusetts

Profile Details

NPI number 1952651895
LBN Legal business name Children In Balance Psychological Associates Llc
DBA Doing business as Center For Self Care Csc
Authorized official Bourquin, Tiffany LMHC
Entity Organization
Organization subpart 1 No
Enumeration date Sep 19th, 2012
Last updated Apr 26th, 2017 - about 8 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 1952651895 NPPES
Other 1669631487 INDIVIDUAL NPI 1669631487
MEDICAID BH90286 INDIVIDUAL NPI 1669631487

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