Ebony Therapy Llc

LBN: Ebony Therapy Llc
Ebony Therapy Llc is an health care organization with primary practice located at 3751 Pennridge Dr Ste 119 , Bridgeton MO 63044-1244. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Ebony Therapy Llc can be contacted via phone (314) 791-2606, or through Edwards, Clara Genine via phone (314) 791-2606.

Contact Information

Primary practice address
3751 Pennridge Dr Ste 119 Bridgeton MO 63044-1244
Phone: (314) 791-2606
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Edwards, Clara Genine CPC
Phone: (314) 791-2606

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1679173108
LBN Legal business name Ebony Therapy Llc
DBA Doing business as
Authorized official Edwards, Clara Genine CPC
Entity Organization
Organization subpart 1 No
Enumeration date Oct 26th, 2020
Last updated Nov 17th, 2020 - about 6 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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