<Unavail>
LBN: Jean Gautreaux Llc
<Unavail> is an health care organization with primary practice located at 4630 Lipscomb St Ne Ste 1A , Palm Bay FL 32905-2940. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty.
Jean Gautreaux Llc can be contacted via phone (321) 405-2583, or through Gautreaux, Jean via phone (321) 405-2583.
Contact Information
Primary practice address
4630 Lipscomb St Ne Ste 1A
Palm Bay FL 32905-2940
Phone: (321) 405-2583
Fax:
Website:
Authorized official contact:
Name: Gautreaux, Jean Licensed Clinical Social Worker (LCSW)
Phone: (321) 405-2583
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X |
Profile Details
| NPI number | 1336788363 |
|---|---|
| LBN Legal business name | Jean Gautreaux Llc |
| DBA Doing business as | <Unavail> |
| Authorized official | Gautreaux, Jean Licensed Clinical Social Worker (LCSW) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 20th, 2019 |
| Last updated | Mar 8th, 2022 - about 4 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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