Achieving Nirvana Llc

LBN: Achieving Nirvana Llc
Achieving Nirvana Llc is an health care organization with primary practice located at 2402 Browning Rd , Pennsauken NJ 08110-1917. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Achieving Nirvana Llc can be contacted via phone (267) 630-4688, or through Pham, Amber via phone (267) 630-4688.

Contact Information

Primary practice address
2402 Browning Rd Pennsauken NJ 08110-1917
Phone: (267) 630-4688
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Pham, Amber Licensed Clinical Social Worker (LCSW)
Phone: (267) 630-4688

Health care specialties

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

Profile Details

NPI number 1578173282
LBN Legal business name Achieving Nirvana Llc
DBA Doing business as
Authorized official Pham, Amber Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 6th, 2020
Last updated Aug 6th, 2020 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1578173282 NPPES
New Jersey Other 0450498715 CERTIFICATION OF FORMATION

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