Provider Demographics
NPI:1043873284
Name:AMAZING KIDS, LLC
Entity type:Organization
Organization Name:AMAZING KIDS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:VERONICA
Authorized Official - Middle Name:SHANA
Authorized Official - Last Name:DOW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:864-980-9963
Mailing Address - Street 1:112 WIMBLEDON CT
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:SC
Mailing Address - Zip Code:29646-8542
Mailing Address - Country:US
Mailing Address - Phone:864-980-9963
Mailing Address - Fax:864-640-4354
Practice Address - Street 1:112 WIMBLEDON CT
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:SC
Practice Address - Zip Code:29646-8542
Practice Address - Country:US
Practice Address - Phone:864-980-9963
Practice Address - Fax:864-640-4354
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-14
Last Update Date:2019-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency