Active Wellness Group Llc

LBN: Active Wellness Group Llc
Active Wellness Group Llc is an health care organization with primary practice located at 216 N Main St Ste C , Trenton FL 32693-3427. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Active Wellness Group Llc can be contacted via phone (386) 507-5789, or through Crews, Susan via phone (386) 507-5789.

Contact Information

Primary practice address
216 N Main St Ste C Trenton FL 32693-3427
Phone: (386) 507-5789
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Crews, Susan LMHC
Phone: (386) 507-5789

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1336737675
LBN Legal business name Active Wellness Group Llc
DBA Doing business as
Authorized official Crews, Susan LMHC
Entity Organization
Organization subpart 1 No
Enumeration date Jan 4th, 2021
Last updated Jan 4th, 2021 - about 3 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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