Identity Behavior Health Services, Llc

LBN: Identity Behavior Health Services, Llc
Identity Behavior Health Services, Llc is an health care organization with primary practice located at 2401 Sheraton Park Dr , Pine Bluff AR 71603-6869. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Identity Behavior Health Services, Llc can be contacted via phone (870) 267-2200, or through Barnett, Kevin via phone (870) 267-2200.

Contact Information

Primary practice address
2401 Sheraton Park Dr Pine Bluff AR 71603-6869
Phone: (870) 267-2200
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Barnett, Kevin Licensed Clinical Social Worker (LCSW)
Phone: (870) 267-2200

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1609464775
LBN Legal business name Identity Behavior Health Services, Llc
DBA Doing business as
Authorized official Barnett, Kevin Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 5th, 2021
Last updated Jan 5th, 2021 - about 4 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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