Comprehensive Behavioral Services, Llc

LBN: Comprehensive Behavioral Services, Llc
Comprehensive Behavioral Services, Llc is an health care organization with primary practice located at 2809 E Dupont Rd , Fort Wayne IN 46825-1668. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Counseling. Behavioral Health & Social Service Providers / Mental Health is the primary health care specialty. Comprehensive Behavioral Services, Llc can be contacted via phone (260) 492-5500, or through Bevill-Dada, Gayle via phone (260) 492-5500.

Contact Information

Primary practice address
2809 E Dupont Rd Fort Wayne IN 46825-1668
Fax: (260) 492-5530
Website:
Authorized official contact:
Name: Bevill-Dada, Gayle MS, LMHC

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 39001423A Indiana
Behavioral Health & Social Service Providers / Counseling 103TC1900X 2004070712A Indiana

Profile Details

NPI number 1023221207
LBN Legal business name Comprehensive Behavioral Services, Llc
DBA Doing business as
Authorized official Bevill-Dada, Gayle MS, LMHC
Entity Organization
Organization subpart 1 No
Enumeration date May 7th, 2007
Last updated Jun 26th, 2012 - about 12 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 1023221207 NPPES
Indiana MEDICAID 100332280
Indiana MEDICAID 1023221207
Indiana MEDICAID 1053488197

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