Provider Demographics
NPI:1821634460
Name:CPD3, INC.
Entity Type:Organization
Organization Name:CPD3, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TAMMY
Authorized Official - Middle Name:
Authorized Official - Last Name:LAMPKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:765-287-1922
Mailing Address - Street 1:2205 N WHEELING AVE
Mailing Address - Street 2:
Mailing Address - City:MUNCIE
Mailing Address - State:IN
Mailing Address - Zip Code:47303-1602
Mailing Address - Country:US
Mailing Address - Phone:765-287-1922
Mailing Address - Fax:765-287-9017
Practice Address - Street 1:2205 N WHEELING AVE
Practice Address - Street 2:
Practice Address - City:MUNCIE
Practice Address - State:IN
Practice Address - Zip Code:47303-1602
Practice Address - Country:US
Practice Address - Phone:765-287-1922
Practice Address - Fax:765-287-9017
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-19
Last Update Date:2019-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty