Therapy Source, Llc

LBN: Therapy Source, Llc
Therapy Source, Llc is an health care organization with primary practice located at 3311 Beach Blvd , Jacksonville FL 32207-3704. The organization recently has only one registered license in Agencies / Day Training, Developmentally Disabled Services, which is considered as the primary health care specialty. Therapy Source, Llc can be contacted via phone (904) 396-1462, or through Driscoll, Susan Dianne via phone (904) 396-1462.

Contact Information

Primary practice address
3311 Beach Blvd Jacksonville FL 32207-3704
Phone: (904) 396-1462
Fax: (904) 396-1199
Website:
Map and Directions
Authorized official contact:
Name: Driscoll, Susan Dianne
Phone: (904) 396-1462

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X

Profile Details

NPI number 1841337060
LBN Legal business name Therapy Source, Llc
DBA Doing business as
Authorized official Driscoll, Susan Dianne
Entity Organization
Organization subpart 1 No
Enumeration date Jan 30th, 2007
Last updated Jul 26th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1841337060 NPPES
Florida MEDICAID 891337400

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