Randolph G. Russ
LBN: Randolph G. Russ
Randolph G. Russ is an health care organization with primary practice located at 8461 Lake Worth Rd Suite 120, Lake Worth FL 33467-2474. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Mental Health is the primary health care specialty.
Randolph G. Russ can be contacted via phone (561) 201-7180, or through Russ, Randolph Graham via phone (561) 201-7180.
Contact Information
Primary practice address
8461 Lake Worth Rd Suite 120
Lake Worth FL 33467-2474
Phone: (561) 201-7180
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X |
Profile Details
| NPI number | 1548625007 |
|---|---|
| LBN Legal business name | Randolph G. Russ |
| DBA Doing business as | |
| Authorized official | Russ, Randolph Graham |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 28th, 2015 |
| Last updated | Aug 2nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548625007 | NPPES |
| Florida | MEDICAID | 000094200 | |
| Florida | MEDICAID | 102043700 |
Popular Providers
-
Minds In Motion Counseling, Inc.
1442 Crest Dr , Lake Worth FL 33461-6062 -
Rho Therapy Llc
8461 Lake Worth Rd Ste 255 , Lake Worth FL 33467-2474 -
Helping Hand Counseling & Consulting Services Of The Palm Beaches
2000 N Dixie Hwy , Lake Worth FL 33460-6244 -
Resolutions Health Alliance, Pa
1688 East Baya Ave. Suite 102, Lake City FL 32025 -
Healthy Space Counseling Services Llc
5133 Woodstone Cir E , Lake Worth FL 33463-5819 -
Ellie Pbc Llc
2290 10Th Ave N Ste 601 , Lake Worth FL 33461-6618 -
Jcs Counseling, Llc
3898 Via Poinciana Ste 13 , Lake Worth FL 33467-2951 -
Fully Alive Therapies Llc
5128 Arbor Glen Cir , Lake Worth FL 33463-8043