Butucha Wellness Llc

LBN: Butucha Wellness Llc
Butucha Wellness Llc is an health care organization with primary practice located at 1362 Skipping Stone Ct , Dacula GA 30019-4006. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Butucha Wellness Llc can be contacted via phone (617) 960-6852, or through Cuna, David via phone (617) 960-6852.

Contact Information

Primary practice address
1362 Skipping Stone Ct Dacula GA 30019-4006
Phone: (617) 960-6852
Fax: (877) 760-0480
Website:
Map and Directions
Authorized official contact:
Name: Cuna, David LICSW
Phone: (617) 960-6852

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1093402612
LBN Legal business name Butucha Wellness Llc
DBA Doing business as
Authorized official Cuna, David LICSW
Entity Organization
Organization subpart 1 No
Enumeration date Apr 24th, 2023
Last updated Apr 24th, 2023 - about 3 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 1093402612 NPPES
Massachusetts MEDICAID 14662512

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