Kidspace Therapy, Llc
LBN: Kidspace Therapy, Llc
Kidspace Therapy, Llc is an health care organization with primary practice located at 2145 Tibbetts Dr Ste A , Longview WA 98632-4211. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Developmental Disabilities. Ambulatory Health Care Facilities / Developmental Disabilities is the primary health care specialty.
Kidspace Therapy, Llc can be contacted via phone (360) 560-1972, or through Wolff, Leslie Kay via phone (360) 560-1972.
Contact Information
Primary practice address
2145 Tibbetts Dr Ste A
Longview WA 98632-4211
Phone: (360) 560-1972
Fax: (360) 703-3452
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X | OT00001294 | Washington |
| Ambulatory Health Care Facilities / Developmental Disabilities | 261QD1600X | 603464065 | Washington |
Profile Details
| NPI number | 1184019184 |
|---|---|
| LBN Legal business name | Kidspace Therapy, Llc |
| DBA Doing business as | |
| Authorized official | Wolff, Leslie Kay OTR/L |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 6th, 2015 |
| Last updated | Jul 15th, 2020 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184019184 | NPPES |
| Washington | Other | 1801921531 | INDIVIDUAL NPI |
| Washington | MEDICAID | 2043730 | INDIVIDUAL NPI |
| Washington | Other | 603464065 | INDIVIDUAL NPI |
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