Family Psychology Of South Bend Llc

LBN: Family Psychology Of South Bend Llc
Family Psychology Of South Bend Llc is an health care organization with primary practice located at 922 E Wayne St Ste 205 , South Bend IN 46617-3024. 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 / Clinical, Behavioral Health & Social Service Providers / Family. Behavioral Health & Social Service Providers / Family is the primary health care specialty. Family Psychology Of South Bend Llc can be contacted via phone (574) 280-8199, or through Petersen, John Anthony via phone (574) 280-8199.

Contact Information

Primary practice address
922 E Wayne St Ste 205 South Bend IN 46617-3024
Phone: (574) 280-8199
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Petersen, John Anthony PSYD
Phone: (574) 280-8199

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Clinical 103TC0700X
Behavioral Health & Social Service Providers / Family 103TF0000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1083184196
LBN Legal business name Family Psychology Of South Bend Llc
DBA Doing business as
Authorized official Petersen, John Anthony PSYD
Entity Organization
Organization subpart 1 No
Enumeration date Dec 1st, 2018
Last updated Dec 1st, 2018 - about 6 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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