Early Intervention And Consultation Services, Llc
Developmental - Behavioral Pediatrics
Early Intervention And Consultation Services, Llc is a Leitchfield, Kentucky based Pediatric center with medical specialization in
Developmental - Behavioral Pediatrics. Early Intervention And Consultation Services, Llc is doing business as
Eics, Llc.
It is located at
635 S Main St Ste B, Leitchfield, Kentucky - 42754. They can be contacted on phone at
270-287-0656 and fax number 270-230-0328.
NPI number (Unique professional ID) for Early Intervention And Consultation Services, Llc is
1780092957 which was assigned by NPPES on 31 Jul, 2014 and it was last updated on 26 Jun, 2020.
Early Intervention And Consultation Services, Llc license number is
800280 for Pediatrics Developmental - Behavioral Pediatrics (2080P0006X) in Kentucky.
Early Intervention And Consultation Services, Llc is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.
Complete Profile:
Early Intervention And Consultation Services, Llc basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Developmental - Behavioral Pediatrics |
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| Provider Name : | Early Intervention And Consultation Services, Llc |
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| Other Name : | Eics, Llc |
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Business Address:
Early Intervention And Consultation Services, Llc address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 635 S Main St Ste B
Leitchfield, KY, 42754
United States |
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| Phone Number : | 270-287-0656 |
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| Fax Number : | 270-230-0328 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1780092957 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 31 Jul, 2014 |
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| Last Updated On : | 26 Jun, 2020 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Lashellrobin Lashley |
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| Authorized Official Credential : | M.A.E., M.A.S.E., |
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| Official Title or Position : | EXECUTIVE DIRECTOR |
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| Phone Number : | 270-868-0089 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Early Intervention And Consultation Services, Llc are as mentioned. Primary taxonomy code for Early Intervention And Consultation Services, Llc is
2080P0006X (Pediatrics Developmental - Behavioral Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 103K00000X | Behavioral Analyst | No | | |
| 103TB0200X | Psychologist Cognitive & Behavioral | No | | KY |
| 251S00000X | Community/Behavioral Health | No | | |
| 251S00000X | Community/Behavioral Health | No | 800280 | KY |
| 2080P0006X | Pediatrics Developmental - Behavioral Pediatrics | Yes | 800280 | KY |
Legacy Identifiers:
Other legacy medical identifiers of Early Intervention And Consultation Services, Llc such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 7100267230 | MEDICAID | KY | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 635 S Main St Ste B
Leitchfield, KY, 42754-1056
United States |
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| Phone Number : | 270-287-0656 |
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| Fax Number : | 270-230-0328 |
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Business Location:
Patients can refer following map for directions to
Early Intervention And Consultation Services, Llc practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.