Paytons Place, Llc

LBN: Paytons Place, Llc
Paytons Place, Llc is an health care organization with primary practice located at 409 East Cook Rd Suite 100, Fort Wayne IN 46825. The organization recently has 8 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Other Service Providers / Case Manager/Care Coordinator, Allopathic & Osteopathic Physicians / Family Medicine, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Speech, Language and Hearing Service Providers / Speech-Language Pathologist, Student, Health Care / Student in an Organized Health Care Education/Training Program. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty. Paytons Place, Llc can be contacted via phone (260) 498-9933, or through Souder, Marla via phone (260) 498-9933.

Contact Information

Primary practice address
409 East Cook Rd Suite 100 Fort Wayne IN 46825
Phone: (260) 498-9933
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Souder, Marla PSY.D., HSPP
Phone: (260) 498-9933

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 20042225A Indiana
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1104247337
LBN Legal business name Paytons Place, Llc
DBA Doing business as
Authorized official Souder, Marla PSY.D., HSPP
Entity Organization
Organization subpart 1 No
Enumeration date Dec 13th, 2013
Last updated Dec 13th, 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.

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