Jaxie Gunner, Inc.

LBN: Jaxie Gunner, Inc.
Jaxie Gunner, Inc. is an health care organization with primary practice located at 408 8Th St Suite 5, New Kensington PA 15068-6426. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Jaxie Gunner, Inc. can be contacted via phone (724) 980-1504, or through Gunner, Jaxie Kay via phone (724) 980-1504.

Contact Information

Primary practice address
408 8Th St Suite 5 New Kensington PA 15068-6426
Phone: (724) 980-1504
Fax: (724) 212-3345
Website:
Map and Directions
Authorized official contact:
Name: Gunner, Jaxie Kay Licensed Clinical Social Worker (LCSW)
Phone: (724) 980-1504

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X CW016514 Pennsylvania

Profile Details

NPI number 1316223076
LBN Legal business name Jaxie Gunner, Inc.
DBA Doing business as
Authorized official Gunner, Jaxie Kay Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 26th, 2011
Last updated Oct 26th, 2011 - about 15 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 1316223076 NPPES
Pennsylvania MEDICAID 102458480-0001

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