Indie Laine Learning Co Llc is a
Clinic/center - Developmental Disabilities based in Phoenix, Arizona. Indie Laine Learning Co Llc is licensed to practice in * (Not Available) (license number ) and their current practice location is
5210 N Central Ave Ste 101, Phoenix, Arizona. It can be reached at their office (for appointments etc.) via phone at
(623) 295-1109.
NPI number for Indie Laine Learning Co Llc is 1073297099 and their current mailing address is 7025 S 42nd Ave, Phoenix, Arizona. Indie Laine Learning Co Llc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1073297099.
Healthcare Provider's Profile
| Full Name | Indie Laine Learning Co Llc |
|---|
| Type | Facility |
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| Speciality | Clinic/center - Developmental Disabilities |
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| Location | 5210 N Central Ave Ste 101, Phoenix, Arizona |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1073297099
- Provider Enumeration Date: 06/12/2023
- Last Update Date: 10/01/2024
Medical Identifiers
Medical identifiers for Indie Laine Learning Co Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1073297099 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
| 261QD1600X | Clinic/center - Developmental Disabilities | (* (Not Available)) | Primary |
| 103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Indie Laine Learning Co Llc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Indie Laine Learning Co Llc
7025 S 42nd Ave,
Phoenix, AZ 85041-3508
Ph: (860) 371-4586 | Indie Laine Learning Co Llc
5210 N Central Ave Ste 101,
Phoenix, AZ 85012-1489
Ph: (623) 295-1109 |
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