One Well Clinic

LBN: Blackage, Llc
One Well Clinic is an health care organization with primary practice located at 320 Central Park W Unit 18B , New York NY 10025-7659. The organization recently has 8 registered licenses in different health care specialties including Agencies / Home Health, Agencies / Community/Behavioral Health, Agencies / In Home Supportive Care, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Public Health, State or Local, Nursing Service Related Providers / Religious Nonmedical Practitioner, Respite Care Facility / Respite Care, Other Service Providers / Prevention Professional. Other Service Providers / Prevention Professional is the primary health care specialty. Blackage, Llc can be contacted via phone (916) 779-9212, or through Nelson, Courteney Geniece via phone (916) 779-9212.

Contact Information

Primary practice address
320 Central Park W Unit 18B New York NY 10025-7659
Phone: (916) 779-9212
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Nelson, Courteney Geniece
Phone: (916) 779-9212

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X
Agencies / Community/Behavioral Health 251S00000X
Agencies / In Home Supportive Care 253Z00000X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Public Health, State or Local 261QP0905X
Nursing Service Related Providers / Religious Nonmedical Practitioner 374K00000X
Respite Care Facility / Respite Care 385H00000X
Other Service Providers / Prevention Professional 405300000X

Profile Details

NPI number 1982461380
LBN Legal business name Blackage, Llc
DBA Doing business as One Well Clinic
Authorized official Nelson, Courteney Geniece
Entity Organization
Organization subpart 1 No
Enumeration date Mar 1st, 2024
Last updated Mar 24th, 2024 - about 9 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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