Rebel In Bloom, Pllc

LBN: Rebel In Bloom, Pllc
Rebel In Bloom, Pllc is an health care organization with primary practice located at 2525 South Lamar Blvd, Ste 15 , Austin TX 78704-4789. The organization recently has only one registered license in Ambulatory Health Care Facilities / Adult Mental Health, which is considered as the primary health care specialty. Rebel In Bloom, Pllc can be contacted via phone (512) 920-5317, or through Amari, Natalia Lux via phone (512) 920-5317.

Contact Information

Primary practice address
2525 South Lamar Blvd, Ste 15 Austin TX 78704-4789
Phone: (512) 920-5317
Fax: (512) 920-5317
Website:
Map and Directions
Authorized official contact:
Name: Amari, Natalia Lux Licensed Clinical Social Worker (LCSW)
Phone: (512) 920-5317

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X

Profile Details

NPI number 1497399026
LBN Legal business name Rebel In Bloom, Pllc
DBA Doing business as
Authorized official Amari, Natalia Lux Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 6th, 2019
Last updated Nov 6th, 2019 - about 7 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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