Bare Ones Soul

LBN: Bare Ones Soul
Bare Ones Soul is an health care organization with primary practice located at 15411 Tuxford Dr , Huntersville NC 28078-3713. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as the primary health care specialty. Bare Ones Soul can be contacted via phone (704) 813-4033, or through Sullivan, Bernard via phone (704) 813-4033.

Contact Information

Primary practice address
15411 Tuxford Dr Huntersville NC 28078-3713
Phone: (704) 813-4033
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Sullivan, Bernard PHD
Phone: (704) 813-4033

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X

Profile Details

NPI number 1841579240
LBN Legal business name Bare Ones Soul
DBA Doing business as
Authorized official Sullivan, Bernard PHD
Entity Organization
Organization subpart 1 No
Enumeration date Aug 16th, 2011
Last updated Oct 31st, 2011 - about 14 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 1841579240 NPPES
North Carolina MEDICAID 6001164

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