Provider Demographics
NPI:1730714361
Name:FATHER'S LOVE BEHAVIORAL SOLUTIONS LLC
Entity type:Organization
Organization Name:FATHER'S LOVE BEHAVIORAL SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RANDY
Authorized Official - Middle Name:DUANE
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:317-397-7520
Mailing Address - Street 1:4310 ROLLING SPRINGS DR
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46033-3769
Mailing Address - Country:US
Mailing Address - Phone:317-397-7520
Mailing Address - Fax:
Practice Address - Street 1:4310 ROLLING SPRINGS DR
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46033-3769
Practice Address - Country:US
Practice Address - Phone:317-937-5191
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-04
Last Update Date:2020-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty