Provider Demographics
NPI:1376945196
Name:ANGELS BEHAVIOR SERVICES LLC
Entity Type:Organization
Organization Name:ANGELS BEHAVIOR SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NARIMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ZABEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:812-968-9740
Mailing Address - Street 1:923 S 2ND ST APT 104
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40203-0003
Mailing Address - Country:US
Mailing Address - Phone:812-968-9740
Mailing Address - Fax:
Practice Address - Street 1:923 S 2ND ST APT 104
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40203-0003
Practice Address - Country:US
Practice Address - Phone:812-968-9740
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-24
Last Update Date:2014-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health