Lookup NPI Numbers from the NPI Registry
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X | |||
Clinical |
103TC0700X | 62 | Psychologist, Clinical |
| NPI Number | 1023427861 |
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| LBN Legal business name | AGAVE STUDIO, LLC | ||||||||
| Authorized official | AMANDA BULL - (BILLING DIRECTOR, STAFF THERAPIST) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 08/06/2014 | ||||||||
| Last updated | 08/12/2014 - About 12 years ago | ||||||||
| Identifiers |
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AGAVE STUDIO, LLC
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AGAVE STUDIO, LLC