1851991343 NPI number — INQUIRING MINDS-PEDIATRIC THERAPY SERVICES, LLC

Table of content: (NPI 1851991343)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1851991343 NPI number — INQUIRING MINDS-PEDIATRIC THERAPY SERVICES, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
INQUIRING MINDS-PEDIATRIC THERAPY SERVICES, LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1851991343
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/26/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4769 WHITESBURG DR SE STE 202
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HUNTSVILLE
Provider Business Mailing Address State Name:
AL
Provider Business Mailing Address Postal Code:
35802-1684
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
205-249-3810
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1230 SLAUGHTER RD STE F
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MADISON
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
35758-5901
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
256-229-2978
Provider Business Practice Location Address Fax Number:
256-666-0465
Provider Enumeration Date:
10/26/2020

Additional Information

Authorized Official

Authorized Official Last Name:
KROELINGER
Authorized Official First Name:
VASUDA
Authorized Official Middle Name:
Authorized Official Title or Position:
MANAGING MEMBER
Authorized Official Telephone Number:
205-249-3810

Provider Taxonomy Codes

  • Taxonomy code: 103K00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 235Z00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2024 www.npivalidator.com