Fenton Wellness

LBN: J Flack Psyd Pc
Fenton Wellness is an health care organization with primary practice located at 127 N River St , Fenton MI 48430-3800. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Psychologist is the primary health care specialty. J Flack Psyd Pc can be contacted via phone (810) 309-9355, or through Flack, Jennifer via phone (810) 309-9355.

Contact Information

Primary practice address
127 N River St Fenton MI 48430-3800
Fax:
Website:
Authorized official contact:
Name: Flack, Jennifer PSY.D., LP

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 6401006094 Michigan
Behavioral Health & Social Service Providers / Psychologist 103T00000X 6301014240 Michigan
Behavioral Health & Social Service Providers / Social Worker 104100000X 6801006671 Michigan

Profile Details

NPI number 1770859001
LBN Legal business name J Flack Psyd Pc
DBA Doing business as Fenton Wellness
Authorized official Flack, Jennifer PSY.D., LP
Entity Organization
Organization subpart 1 No
Enumeration date Mar 30th, 2012
Last updated Mar 30th, 2012 - about 14 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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