Avalyn Wellness And Ketamine Llc
LBN: Avalyn Wellness And Ketamine Llc
Avalyn Wellness And Ketamine Llc is an health care organization with primary practice located at 1100 N Kimball Ave Ste 110 , Southlake TX 76092-4726. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Multi-Specialty, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Ambulatory Health Care Facilities / Multi-Specialty is the primary health care specialty.
Avalyn Wellness And Ketamine Llc can be contacted via phone (817) 251-7995, or through Appelhof, Steven Michael via phone (951) 956-8966.
Contact Information
Primary practice address
1100 N Kimball Ave Ste 110
Southlake TX 76092-4726
Phone: (817) 251-7995
Fax: (817) 398-0016
Website:
Authorized official contact:
Name: Appelhof, Steven Michael Certified Registered Nurse Anesthetist (CRNA)
Phone: (951) 956-8966
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Ambulatory Health Care Facilities / Multi-Specialty | 261QM1300X | ||
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | ||
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X |
Profile Details
NPI number | 1356036933 |
---|---|
LBN Legal business name | Avalyn Wellness And Ketamine Llc |
DBA Doing business as | |
Authorized official | Appelhof, Steven Michael Certified Registered Nurse Anesthetist (CRNA) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Apr 10th, 2023 |
Last updated | Jan 11th, 2024 - about 11 months 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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