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:
Authorized official contact:
Name: Young, Christopher Master of Education (MED)
Phone: (803) 335-1272
Health care specialties
| Specialty | Code | License # | 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 12 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 | 1285922336 | NPPES |
| South Carolina | MEDICAID | GP5785 |
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