Provider Demographics
NPI: | 1710037007 |
---|---|
Name: | CHILDHELP, INC. |
Entity Type: | Organization |
Organization Name: | CHILDHELP, INC. |
Other - Org Name: | CHILDHELP CLINICAL SERVICES PROGRAM |
Other - Org Type: | Other Name |
Authorized Official - Title/Position: | DIRECTOR, REVENUE CYCLE MANAGEMENT |
Authorized Official - Prefix: | |
Authorized Official - First Name: | LISA |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | CARPENTER |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 276-617-0957 |
Mailing Address - Street 1: | 6730 N SCOTTSDALE RD STE 150 |
Mailing Address - Street 2: | |
Mailing Address - City: | SCOTTSDALE |
Mailing Address - State: | AZ |
Mailing Address - Zip Code: | 85253-4415 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 276-617-0957 |
Mailing Address - Fax: | 480-922-7061 |
Practice Address - Street 1: | 408 N CEDAR BLUFF RD STE 325 |
Practice Address - Street 2: | |
Practice Address - City: | KNOXVILLE |
Practice Address - State: | TN |
Practice Address - Zip Code: | 37923-3656 |
Practice Address - Country: | US |
Practice Address - Phone: | 865-637-1753 |
Practice Address - Fax: | 865-544-7150 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2007-01-11 |
Last Update Date: | 2022-12-27 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 251S00000X | Agencies | Community/Behavioral Health | Group - Single Specialty |