Bon Creative Change, Llc
LBN: Bon Creative Change, Llc
Bon Creative Change, Llc is an health care organization with primary practice located at 1400 Barbara Loop Se Ste H , Rio Rancho NM 87124-1088. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as the primary health care specialty.
Bon Creative Change, Llc can be contacted via phone (505) 620-9785, or through Boucher, Bonnie J via phone (505) 620-9785.
Contact Information
Primary practice address
1400 Barbara Loop Se Ste H
Rio Rancho NM 87124-1088
Phone: (505) 620-9785
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | O124121 | New Mexico |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 0124121 | New Mexico |
Profile Details
| NPI number | 1366954968 |
|---|---|
| LBN Legal business name | Bon Creative Change, Llc |
| DBA Doing business as | |
| Authorized official | Boucher, Bonnie J LPCC |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 4th, 2017 |
| Last updated | Jan 24th, 2018 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366954968 | NPPES |
| New Mexico | Other | 0124121 | LPCC LICENSE |
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