Provider Demographics
NPI:1053664631
Name:LITTLE TREASURES LLP
Entity Type:Organization
Organization Name:LITTLE TREASURES LLP
Other - Org Name:COOPERKIDSTHERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:NIQUETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:DESTIN
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:718-712-3358
Mailing Address - Street 1:3 CROYDON CT
Mailing Address - Street 2:
Mailing Address - City:DIX HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11746-6143
Mailing Address - Country:US
Mailing Address - Phone:516-280-0078
Mailing Address - Fax:
Practice Address - Street 1:3 CROYDON CT
Practice Address - Street 2:
Practice Address - City:DIX HILLS
Practice Address - State:NY
Practice Address - Zip Code:11746-6143
Practice Address - Country:US
Practice Address - Phone:516-280-0078
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-19
Last Update Date:2012-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness