<Unavail>
LBN: Alyssa Buchanan, Llc
<Unavail> is an health care organization with primary practice located at 630 S Wickham Rd Ste 107 , West Melbourne FL 32904-1429. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty.
Alyssa Buchanan, Llc can be contacted via phone (321) 608-0604, or through Buchanan, Alyssa via phone (321) 608-0604.
Contact Information
Primary practice address
630 S Wickham Rd Ste 107
West Melbourne FL 32904-1429
Phone: (321) 608-0604
Fax: (321) 608-0604
Website:
Authorized official contact:
Name: Buchanan, Alyssa Licensed Clinical Social Worker (LCSW)
Phone: (321) 608-0604
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | ||
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | SW12384 | Florida |
Profile Details
| NPI number | 1487194817 |
|---|---|
| LBN Legal business name | Alyssa Buchanan, Llc |
| DBA Doing business as | <Unavail> |
| Authorized official | Buchanan, Alyssa Licensed Clinical Social Worker (LCSW) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 4th, 2017 |
| Last updated | Jan 12th, 2022 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487194817 | NPPES |
| Florida | MEDICAID | 014820300 |
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