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Contact Information

BROKEN BUT YET HEALED THERAPEUTIC SERVICES LLC
7 E 13TH ST
SUITE 227
ANNISTON, AL36201-4601
 Phone: 334-392-0105
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Counselor

101Y00000X
 

Behavior Analyst

103K00000X
 

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
 

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for BROKEN BUT YET HEALED THERAPEUTIC SERVICES LLC

NPI Number 1427442169
LBN Legal business name BROKEN BUT YET HEALED THERAPEUTIC SERVICES LLC
Authorized official LASHEENA DAVIS - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/19/2015
Last updated 04/21/2015 - About 11 years ago
Identifiers
AL License # C2251A
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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