C Michaela Jacks Llc

LBN: C Michaela Jacks Llc
C Michaela Jacks Llc is an health care organization with primary practice located at 1789 S Braddock Ave Ste 350 , Pittsburgh PA 15218-1871. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. C Michaela Jacks Llc can be contacted via phone (412) 213-8425, or through Jacks, Crystal M via phone (412) 213-8425.

Contact Information

Primary practice address
1789 S Braddock Ave Ste 350 Pittsburgh PA 15218-1871
Phone: (412) 213-8425
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jacks, Crystal M LMFT
Phone: (412) 213-8425

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X MF000999 Pennsylvania

Profile Details

NPI number 1144718172
LBN Legal business name C Michaela Jacks Llc
DBA Doing business as
Authorized official Jacks, Crystal M LMFT
Entity Organization
Organization subpart 1 No
Enumeration date Apr 25th, 2018
Last updated May 1st, 2018 - about 8 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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