Digital Media Treatment And Education Center, Llc

LBN: Digital Media Treatment And Education Center, Llc
Digital Media Treatment And Education Center, Llc is an health care organization with primary practice located at 2299 Pearl St Ste 310 , Boulder CO 80302-4671. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Family. Behavioral Health & Social Service Providers / Mental Health is the primary health care specialty. Digital Media Treatment And Education Center, Llc can be contacted via phone (303) 635-6753, or through Kennedy, Brett via phone (303) 632-8883.

Contact Information

Primary practice address
2299 Pearl St Ste 310 Boulder CO 80302-4671
Phone: (303) 635-6753
Fax: (303) 593-1058
Website:
Map and Directions
Authorized official contact:
Name: Kennedy, Brett PSY.D.
Phone: (303) 632-8883

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Behavioral Health & Social Service Providers / Family 103TF0000X

Profile Details

NPI number 1235791286
LBN Legal business name Digital Media Treatment And Education Center, Llc
DBA Doing business as
Authorized official Kennedy, Brett PSY.D.
Entity Organization
Organization subpart 1 No
Enumeration date Jun 30th, 2019
Last updated Jun 30th, 2019 - about 5 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 1235791286 NPPES
New York MEDICAID 1639234545
New York MEDICAID 1326345216

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