Church Therapy Associates, Llc

LBN: Church Therapy Associates, Llc
Church Therapy Associates, Llc is an health care organization with primary practice located at 3112 W Grand St , Springfield MO 65802-5201. The organization recently has only one registered license in Ambulatory Health Care Facilities / Adult Mental Health, which is considered as the primary health care specialty. Church Therapy Associates, Llc can be contacted via phone (781) 367-2383, or through Kansiewicz, Kristen via phone (781) 367-2383.

Contact Information

Primary practice address
3112 W Grand St Springfield MO 65802-5201
Phone: (781) 367-2383
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kansiewicz, Kristen PHD, LPC
Phone: (781) 367-2383

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X

Profile Details

NPI number 1992403711
LBN Legal business name Church Therapy Associates, Llc
DBA Doing business as
Authorized official Kansiewicz, Kristen PHD, LPC
Entity Organization
Organization subpart 1 No
Enumeration date Feb 21st, 2023
Last updated Feb 21st, 2023 - about 2 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 1992403711 NPPES
Massachusetts MEDICAID 1053428722

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