Provider Demographics
NPI:1295389211
Name:TOTALLY TOTS LLC
Entity Type:Organization
Organization Name:TOTALLY TOTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DEVELOPMENTAL INTERVENTIONIST
Authorized Official - Prefix:
Authorized Official - First Name:DANEL
Authorized Official - Middle Name:R
Authorized Official - Last Name:GOSSETT
Authorized Official - Suffix:
Authorized Official - Credentials:MAED/IECE
Authorized Official - Phone:606-271-2478
Mailing Address - Street 1:1702 SHERRI DR
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:KY
Mailing Address - Zip Code:42503-8700
Mailing Address - Country:US
Mailing Address - Phone:606-271-2478
Mailing Address - Fax:606-802-2219
Practice Address - Street 1:301 MURPHY AVE
Practice Address - Street 2:
Practice Address - City:FERGUSON
Practice Address - State:KY
Practice Address - Zip Code:42533-9417
Practice Address - Country:US
Practice Address - Phone:606-271-2478
Practice Address - Fax:606-802-2219
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-29
Last Update Date:2021-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency