Provider Demographics
NPI:1578871638
Name:CHILDREN AND FAMILY THERAPEUTIC SOLUTIONS, LLC
Entity Type:Organization
Organization Name:CHILDREN AND FAMILY THERAPEUTIC SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:PAYNTER
Authorized Official - Suffix:
Authorized Official - Credentials:MA, PCC
Authorized Official - Phone:800-424-0182
Mailing Address - Street 1:PO BOX 17442
Mailing Address - Street 2:
Mailing Address - City:EUCLID
Mailing Address - State:OH
Mailing Address - Zip Code:44117-0442
Mailing Address - Country:US
Mailing Address - Phone:800-424-0182
Mailing Address - Fax:
Practice Address - Street 1:472 CANTERBURY LN
Practice Address - Street 2:
Practice Address - City:SAGAMORE HILLS
Practice Address - State:OH
Practice Address - Zip Code:44067-4109
Practice Address - Country:US
Practice Address - Phone:800-424-0182
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-22
Last Update Date:2010-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC.1000051-TRNE101Y00000X
OHE.0602212101YP2500X
OHS.0500270104100000X
OHS.0500688104100000X
OHI.0800276-SUPV1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty