Asy Absolute Wellness Clinic, Llc

LBN: Asy Absolute Wellness Clinic, Llc
Asy Absolute Wellness Clinic, Llc is an health care organization with primary practice located at 2712 Middleburg Dr Suite 206, Columbia SC 29204-2415. The organization recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Ambulatory Health Care Facilities / Adolescent and Children Mental Health, Laboratories / Clinical Medical Laboratory. Other Service Providers / Specialist is the primary health care specialty. Asy Absolute Wellness Clinic, Llc can be contacted via phone (803) 335-1272, or through Young, Christopher via phone (803) 335-1272.

Contact Information

Primary practice address
2712 Middleburg Dr Suite 206 Columbia SC 29204-2415
Phone: (803) 335-1272
Fax: (803) 335-1272
Website:
Map and Directions
Authorized official contact:
Name: Young, Christopher Master of Education (MED)
Phone: (803) 335-1272

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X GP5785
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X 22943 South Carolina
Laboratories / Clinical Medical Laboratory 291U00000X 42D2033880 South Carolina

Profile Details

NPI number 1285922336
LBN Legal business name Asy Absolute Wellness Clinic, Llc
DBA Doing business as
Authorized official Young, Christopher Master of Education (MED)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 11th, 2011
Last updated Jun 18th, 2013 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285922336 NPPES
South Carolina MEDICAID GP5785

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