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
Phone: (260) 492-5500
Fax: (260) 492-5530
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023221207 | NPPES |
| Indiana | MEDICAID | 100332280 | |
| Indiana | MEDICAID | 1023221207 | |
| Indiana | MEDICAID | 1053488197 |
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