South Table Wellness

LBN: South Table Wellness
South Table Wellness is an health care organization with primary practice located at 2550 Youngfield St # 4 , Lakewood CO 80215-1033. 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. South Table Wellness can be contacted via phone (720) 324-7939, or through Ripperger-Harrell, Jaclyn via phone (720) 324-7939.

Contact Information

Primary practice address
2550 Youngfield St # 4 Lakewood CO 80215-1033
Phone: (720) 324-7939
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ripperger-Harrell, Jaclyn Licensed Clinical Social Worker (LCSW)
Phone: (720) 324-7939

Health care specialties

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

Profile Details

NPI number 1386387975
LBN Legal business name South Table Wellness
DBA Doing business as
Authorized official Ripperger-Harrell, Jaclyn Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 20th, 2022
Last updated Feb 3rd, 2024 - about 2 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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