Intellectualsoul Clinical Consulting, Llc

LBN: Intellectualsoul Clinical Consulting, Llc
Intellectualsoul Clinical Consulting, Llc is an health care organization with primary practice located at 2541 College St , Montgomery AL 36106-2124. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Intellectualsoul Clinical Consulting, Llc can be contacted via phone (334) 207-7657, or through Mambazo, Stephan Idris via phone (334) 625-9617.

Contact Information

Primary practice address
2541 College St Montgomery AL 36106-2124
Phone: (334) 207-7657
Fax: (334) 323-6747
Website:
Map and Directions
Authorized official contact:
Name: Mambazo, Stephan Idris LICSW
Phone: (334) 625-9617

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1912559675
LBN Legal business name Intellectualsoul Clinical Consulting, Llc
DBA Doing business as
Authorized official Mambazo, Stephan Idris LICSW
Entity Organization
Organization subpart 1 No
Enumeration date Jul 12th, 2019
Last updated Mar 12th, 2021 - about 5 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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