Provider Demographics
NPI:1902068257
Name:KIDS KOUNT THERAPY SERVICES
Entity Type:Organization
Organization Name:KIDS KOUNT THERAPY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OCCUPATIONAL THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:KRISLYN
Authorized Official - Middle Name:
Authorized Official - Last Name:DIENES
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:251-990-8330
Mailing Address - Street 1:25833 HIGHWAY 181
Mailing Address - Street 2:
Mailing Address - City:DAPHNE
Mailing Address - State:AL
Mailing Address - Zip Code:36526-6101
Mailing Address - Country:US
Mailing Address - Phone:251-689-8153
Mailing Address - Fax:
Practice Address - Street 1:25833 HIGHWAY 181
Practice Address - Street 2:
Practice Address - City:DAPHNE
Practice Address - State:AL
Practice Address - Zip Code:36526-6101
Practice Address - Country:US
Practice Address - Phone:251-689-8153
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-27
Last Update Date:2008-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1979320600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities