Kids Central Of The Carolinas, Llc

LBN: Kids Central Of The Carolinas, Llc
Kids Central Of The Carolinas, Llc is an health care organization with primary practice located at 4722 Park Rd , Charlotte NC 28209. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as the primary health care specialty. Kids Central Of The Carolinas, Llc can be contacted via phone (704) 369-2502, or through Mckissick, Kamilah Mcphail via phone (980) 214-4281.

Contact Information

Primary practice address
4722 Park Rd Charlotte NC 28209
Phone: (704) 369-2502
Fax: (704) 688-2961
Website:
Map and Directions
Authorized official contact:
Name: Mckissick, Kamilah Mcphail PSY. D.
Phone: (980) 214-4281

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X

Profile Details

NPI number 1952406845
LBN Legal business name Kids Central Of The Carolinas, Llc
DBA Doing business as
Authorized official Mckissick, Kamilah Mcphail PSY. D.
Entity Organization
Organization subpart 1 No
Enumeration date Sep 14th, 2006
Last updated Nov 15th, 2016 - about 9 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 1952406845 NPPES
North Carolina Other 016N5 BCBSNC
North Carolina MEDICAID 6005230 BCBSNC

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