CAN-TEENS FOUNDATION – NPI #1801568092
Clinic/Center

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

CAN-TEENS FOUNDATION is an AHC clinic located in LOUISVILLE, KY. NPPES has assigned the NPI number 1801568092 to CAN-TEENS FOUNDATION on October 05, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QM0855X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Adolescent and Children Mental Health

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CAN-TEENS FOUNDATION below.

NPI Profile for
CAN-TEENS FOUNDATION

NPI Number
1801568092
Enumeration Date

(more than 4 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CAN-TEENS FOUNDATION
Primary location
800 CAWTHORN ST
LOUISVILLE, KY 40203
Phone: (704) 891-6883 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
DELORES JORDAN
OWNER
Phone: (704) 999-8627
Updated
Certification Date
Sep 21, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM0855X
- Clinic/Center / Adolescent and Children Mental Health (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.