Blacksoleheeling, Llc

LBN: Blacksoleheeling, Llc
Blacksoleheeling, Llc is an health care organization with primary practice located at 2807 Pinewood Dr , Waldorf MD 20601-3047. The organization recently has 4 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health, Residential Treatment Facilities / Psychiatric Residential Treatment Facility. Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. Blacksoleheeling, Llc can be contacted via phone (240) 725-2727, or through Jenkins, Donnika via phone (240) 725-2727.

Contact Information

Primary practice address
2807 Pinewood Dr Waldorf MD 20601-3047
Phone: (240) 725-2727
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jenkins, Donnika NCC, LPC
Phone: (240) 725-2727

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X
Residential Treatment Facilities / Psychiatric Residential Treatment Facility 323P00000X

Profile Details

NPI number 1912627811
LBN Legal business name Blacksoleheeling, Llc
DBA Doing business as
Authorized official Jenkins, Donnika NCC, LPC
Entity Organization
Organization subpart 1 No
Enumeration date Aug 31st, 2022
Last updated Aug 31st, 2022 - about 2 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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