Maydai Trauma Focused Clinical Network And Research Center Llc

LBN: Maydai Trauma Focused Clinical Network And Research Center Llc
Maydai Trauma Focused Clinical Network And Research Center Llc is an health care organization with primary practice located at 4601 State St Ste 220 , East Saint Louis IL 62205-1359. The organization recently has 9 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 / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Group Psychotherapy, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Nursing Service Providers / Pediatrics, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Ambulatory Health Care Facilities / Adolescent and Children Mental Health, Other Service Providers / Prevention Professional. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty. Maydai Trauma Focused Clinical Network And Research Center Llc can be contacted via phone (618) 741-9635, or through May, Kory L via phone (618) 741-9635.

Contact Information

Primary practice address
4601 State St Ste 220 East Saint Louis IL 62205-1359
Phone: (618) 741-9635
Fax:
Website:
Map and Directions
Authorized official contact:
Name: May, Kory L Licensed Clinical Social Worker (LCSW)
Phone: (618) 741-9635

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 / Clinical Child & Adolescent 103TC2200X
Behavioral Health & Social Service Providers / Group Psychotherapy 103TP2701X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X
Nursing Service Providers / Pediatrics 163WP0200X
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X
Other Service Providers / Prevention Professional 405300000X

Profile Details

NPI number 1659047744
LBN Legal business name Maydai Trauma Focused Clinical Network And Research Center Llc
DBA Doing business as
Authorized official May, Kory L Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 18th, 2021
Last updated Oct 29th, 2021 - about 3 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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