BLUEPRINT FOR SUCCESS LLC NPI 1962001479

NPI Information

NPI: 1962001479
Provider Name: BLUEPRINT FOR SUCCESS LLC
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
117 E LIBERTY ST
SPRINGFIELD, OH
ZIP 45505
Phone: (937) 937-0142
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BLUEPRINT FOR SUCCESS LLC is a multi-specialty clinic center in Springfield, OH. BLUEPRINT FOR SUCCESS LLC NPI is 1962001479. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

117 E LIBERTY ST
SPRINGFIELD, OH
ZIP 45505-935
Phone: (937) 937-0142
Fax: (855) 300-5330

The provider's authorized official is Michael Ward .
The authorized official title is Owner and has the following contact phone number (937) 723-0142.

The enumeration date for this NPI number is 10/26/2020 and was last updated on 10/26/2020.

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	Primary
1	103K00000X	Behavior Analyst		No
2	174200000X	Meals		No
3	177F00000X	Lodging		No
4	251B00000X	Case Management		No
5	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	No
6	261QM0850X	Clinic/Center	Adult Mental Health	No
7	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	No
8	261QM2500X	Clinic/Center	Medical Specialty	No
9	261QM2800X	Clinic/Center	Methadone	No
10	261QP2400X	Clinic/Center	Prison Health	No
11	261QR1100X	Clinic/Center	Research	No
12	261QM1300X	Clinic/Center	Multi-Specialty	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: 4/28/2024

NPI Synchronization or Removal

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