Broadstreet Counseling Services Llc
LBN: Broadstreet Counseling Services Llc
Broadstreet Counseling Services Llc is an health care organization with primary practice located at 2919 Telegraph Ave Apt 303 , Oakland CA 94609-3577. The organization recently has 3 registered licenses in different health care specialties including Agencies / Case Management, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health. Ambulatory Health Care Facilities / Adult Mental Health is the primary health care specialty.
Broadstreet Counseling Services Llc can be contacted via phone (313) 704-4217, or through Haygood, Brandon via phone (313) 704-4217.
Contact Information
Primary practice address
2919 Telegraph Ave Apt 303
Oakland CA 94609-3577
Phone: (313) 704-4217
Fax:
Website:
Authorized official contact:
Name: Haygood, Brandon Licensed Clinical Social Worker (LCSW)
Phone: (313) 704-4217
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Case Management | 251B00000X | ||
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X | ||
| Ambulatory Health Care Facilities / Adult Mental Health | 261QM0850X |
Profile Details
| NPI number | 1053029561 |
|---|---|
| LBN Legal business name | Broadstreet Counseling Services Llc |
| DBA Doing business as | |
| Authorized official | Haygood, Brandon Licensed Clinical Social Worker (LCSW) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 14th, 2022 |
| Last updated | Nov 14th, 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.
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