Clinical Family Services Llc

LBN: Clinical Family Services Llc
Clinical Family Services Llc is an health care organization with primary practice located at 1404 Kimmell Road , Vincennes IN 47591. 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. Clinical Family Services Llc can be contacted via phone (317) 919-0093, or through Gray, Anthony Lee via phone (317) 919-0093.

Contact Information

Primary practice address
1404 Kimmell Road Vincennes IN 47591
Phone: (317) 919-0093
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gray, Anthony Lee Licensed Clinical Social Worker (LCSW)
Phone: (317) 919-0093

Health care specialties

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

Profile Details

NPI number 1417663295
LBN Legal business name Clinical Family Services Llc
DBA Doing business as
Authorized official Gray, Anthony Lee Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 25th, 2023
Last updated Jan 25th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1417663295 NPPES
Indiana MEDICAID 100133060

Popular Providers