Antidote Wellness Llc

LBN: Antidote Wellness Llc
Antidote Wellness Llc is an health care organization with primary practice located at 5435 Japonica Ave , Pensacola FL 32507-8848. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Antidote Wellness Llc can be contacted via phone (850) 332-3087, or through Haggard, Amanda L via phone (850) 332-3087.

Contact Information

Primary practice address
5435 Japonica Ave Pensacola FL 32507-8848
Phone: (850) 332-3087
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Haggard, Amanda L MSW, LCSW
Phone: (850) 332-3087

Health care specialties

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

Profile Details

NPI number 1043817786
LBN Legal business name Antidote Wellness Llc
DBA Doing business as
Authorized official Haggard, Amanda L MSW, LCSW
Entity Organization
Organization subpart 1 No
Enumeration date Oct 6th, 2020
Last updated Oct 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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