White Crescent Wellness, Llc

LBN: White Crescent Wellness, Llc
White Crescent Wellness, Llc is an health care organization with primary practice located at 222 Saint John St Ste 314 , Portland ME 04102-3059. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. White Crescent Wellness, Llc can be contacted via phone (508) 314-3084, or through Hagen, Julia via phone (508) 314-3084.

Contact Information

Primary practice address
222 Saint John St Ste 314 Portland ME 04102-3059
Phone: (508) 314-3084
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hagen, Julia Licensed Clinical Social Worker (LCSW)
Phone: (508) 314-3084

Health care specialties

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

Profile Details

NPI number 1699273607
LBN Legal business name White Crescent Wellness, Llc
DBA Doing business as
Authorized official Hagen, Julia Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 24th, 2018
Last updated Jan 24th, 2018 - about 8 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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