Atrium Health Wake Forest Baptist Behavioral Medicine - Fslr Pediatric

LBN: Wake Forest Health Network Llc
Atrium Health Wake Forest Baptist Behavioral Medicine - Fslr Pediatric is an health care organization with primary practice located at 2933 Maplewood Ave Ste 1 , Winston Salem NC 27103-4001. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as the primary health care specialty. Wake Forest Health Network Llc can be contacted via phone (336) 802-2205, or through Howerton, Russell Mars via phone (336) 716-1331.

Contact Information

Primary practice address
2933 Maplewood Ave Ste 1 Winston Salem NC 27103-4001
Fax: (336) 802-2206
Website:
Authorized official contact:
Name: Howerton, Russell Mars

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X

Profile Details

NPI number 1538504238
LBN Legal business name Wake Forest Health Network Llc
DBA Doing business as Atrium Health Wake Forest Baptist Behavioral Medicine - Fslr Pediatric
Authorized official Howerton, Russell Mars
Entity Organization
Organization subpart 1 No
Enumeration date May 8th, 2013
Last updated Feb 5th, 2024 - about 7 months 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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