Dakota Institute Of Trauma Therapy, Pc
LBN: Dakota Institute Of Trauma Therapy, Pc
Dakota Institute Of Trauma Therapy, Pc is an health care organization with primary practice located at 4023 State St Suite120, Bismarck ND 58503-0690. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty.
Dakota Institute Of Trauma Therapy, Pc can be contacted via phone (701) 751-4447, or through Ritz, Lynnea Jane via phone (701) 426-4398.
Contact Information
Primary practice address
4023 State St Suite120
Bismarck ND 58503-0690
Phone: (701) 751-4447
Fax: (701) 751-4471
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 2899 | North Dakota |
Profile Details
| NPI number | 1114286986 |
|---|---|
| LBN Legal business name | Dakota Institute Of Trauma Therapy, Pc |
| DBA Doing business as | |
| Authorized official | Ritz, Lynnea Jane MSW, LICSW |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 14th, 2012 |
| Last updated | Nov 11th, 2013 - 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 | 1114286986 | NPPES |
| Other | 11755287 | CAQH | |
| Other | HP 65336 | CAQH | |
| MEDICAID | 100253255 | CAQH | |
| MEDICAID | 19147 | CAQH |
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