Explore Transform Llc

LBN: Explore Transform Llc
Explore Transform Llc is an health care organization with primary practice located at 235 Orchard Pl , Ridgewood NJ 07450-4903. 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. Explore Transform Llc can be contacted via phone (201) 779-6917, or through Warren-Dickins, Chris via phone (201) 779-6917.

Contact Information

Primary practice address
235 Orchard Pl Ridgewood NJ 07450-4903
Phone: (201) 779-6917
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Warren-Dickins, Chris Licensed Professional Counselor (LPC)
Phone: (201) 779-6917

Health care specialties

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

Profile Details

NPI number 1770202467
LBN Legal business name Explore Transform Llc
DBA Doing business as
Authorized official Warren-Dickins, Chris Licensed Professional Counselor (LPC)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 25th, 2022
Last updated Aug 25th, 2022 - 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 1770202467 NPPES
New Jersey Other 37PC00618700 LICENCE

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