Creekside Therapeutics
LBN: Creekside Therapeutics
Creekside Therapeutics is an health care organization with primary practice located at 300 12Th St Ofc 1 , Lynchburg VA 24504-4618. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Professional is the primary health care specialty.
Creekside Therapeutics can be contacted via phone (540) 583-6481, or through Coleman, Jessica via phone (540) 583-6481.
Contact Information
Primary practice address
300 12Th St Ofc 1
Lynchburg VA 24504-4618
Phone: (540) 583-6481
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | ||
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X |
Profile Details
| NPI number | 1902593015 |
|---|---|
| LBN Legal business name | Creekside Therapeutics |
| DBA Doing business as | |
| Authorized official | Coleman, Jessica LPC, BCBA |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 19th, 2023 |
| Last updated | Apr 19th, 2023 - about last year |
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 | 1902593015 | NPPES |
| Virginia | MEDICAID | 30017547490002 |
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