Porters Headspace

LBN: Porters Headspace
Porters Headspace is an health care organization with primary practice located at 4212 Lennon Rd Ste 1 , Flint MI 48507-1080. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty. Porters Headspace can be contacted via phone (810) 293-5063, or through Porter, Rebecca Marie via phone (810) 293-5063.

Contact Information

Primary practice address
4212 Lennon Rd Ste 1 Flint MI 48507-1080
Phone: (810) 293-5063
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Porter, Rebecca Marie LMSW
Phone: (810) 293-5063

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1790477180
LBN Legal business name Porters Headspace
DBA Doing business as
Authorized official Porter, Rebecca Marie LMSW
Entity Organization
Organization subpart 1 No
Enumeration date May 23rd, 2023
Last updated Aug 28th, 2023 - 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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