Pain Management Psychology Services, Pa
LBN: Pain Management Psychology Services, Pa
Pain Management Psychology Services, Pa is an health care organization with primary practice located at 160 Kimel Forest Dr. Ste. 100, Winston-Salem NC 27103-6084. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as the primary health care specialty.
Pain Management Psychology Services, Pa can be contacted via phone (336) 770-6451, or through Webster, Timothy Norris via phone (336) 770-6451.
Contact Information
Primary practice address
160 Kimel Forest Dr. Ste. 100
Winston-Salem NC 27103-6084
Phone: (336) 770-6451
Fax: (336) 714-6475
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 0388 | North Carolina |
Profile Details
| NPI number | 1255571410 |
|---|---|
| LBN Legal business name | Pain Management Psychology Services, Pa |
| DBA Doing business as | |
| Authorized official | Webster, Timothy Norris PH.D. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 2nd, 2009 |
| Last updated | Oct 18th, 2013 - about 11 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 | 1255571410 | NPPES |
| North Carolina | MEDICAID | 6006753 | |
| North Carolina | Other | 616591400 |
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