Forming Friendships Llc

LBN: Forming Friendships Llc
Forming Friendships Llc is an health care organization with primary practice located at 171 Roberts Dr , Hillsboro MO 63050-4120. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Forming Friendships Llc can be contacted via phone (314) 297-0793, or through Petefish, Katherine A via phone (314) 297-0793.

Contact Information

Primary practice address
171 Roberts Dr Hillsboro MO 63050-4120
Phone: (314) 297-0793
Fax: (314) 202-5441
Website:
Map and Directions
Authorized official contact:
Name: Petefish, Katherine A LCPC, BCBA, LBA
Phone: (314) 297-0793

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X 2015044940 Missouri

Profile Details

NPI number 1396257408
LBN Legal business name Forming Friendships Llc
DBA Doing business as
Authorized official Petefish, Katherine A LCPC, BCBA, LBA
Entity Organization
Organization subpart 1 No
Enumeration date Oct 30th, 2017
Last updated Mar 13th, 2019 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1396257408 NPPES
Missouri MEDICAID 500052076

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