Spruce Creek Mental Health Services, Llc

LBN: Spruce Creek Mental Health Services, Llc
Spruce Creek Mental Health Services, Llc is an health care organization with primary practice located at 1690 Dunlawton Ave Suite 125, Port Orange FL 32127-8979. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Spruce Creek Mental Health Services, Llc can be contacted via phone (386) 681-8639, or through King, Edward C via phone (386) 681-8639.

Contact Information

Primary practice address
1690 Dunlawton Ave Suite 125 Port Orange FL 32127-8979
Phone: (386) 681-8639
Fax: (386) 310-3992
Website:
Map and Directions
Authorized official contact:
Name: King, Edward C Licensed Clinical Social Worker (LCSW)
Phone: (386) 681-8639

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW10520 Florida

Profile Details

NPI number 1669710273
LBN Legal business name Spruce Creek Mental Health Services, Llc
DBA Doing business as
Authorized official King, Edward C Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 17th, 2013
Last updated Feb 1st, 2013 - about 13 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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