INDIVIDUALIZED SOLUTIONS LLC NPI 1962172304

NPI Information

NPI: 1962172304
Provider Name: INDIVIDUALIZED SOLUTIONS, LLC
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
2301 IDLEWOOD RD
JEFFERSON CITY, MO
ZIP 65109
Phone: (573) 418-1677
Get Directions

INDIVIDUALIZED SOLUTIONS, LLC is an adult mental health clinic center in Jefferson City, MO. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. INDIVIDUALIZED SOLUTIONS, LLC NPI is 1962172304. The provider is registered as an organization entity type.

The provider's business location address is:

2301 IDLEWOOD RD
JEFFERSON CITY, MO
ZIP 65109-119
Phone: (573) 418-1677

The provider's authorized official is Gary E Brotherton .
The authorized official title is Business Consultant and has the following contact phone number (573) 268-0967.

The enumeration date for this NPI number is 9/16/2021 and was last updated on 9/16/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0850X	Clinic/Center	Adult Mental Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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