Bring Your Brokenness Inc

LBN: Bring Your Brokenness Inc
Bring Your Brokenness Inc is an health care organization with primary practice located at 87616 Roses Bluff Rd , Yulee FL 32097-4998. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Adult Mental Health, Residential Treatment Facilities / Psychiatric Residential Treatment Facility. Residential Treatment Facilities / Psychiatric Residential Treatment Facility is the primary health care specialty. Bring Your Brokenness Inc can be contacted via phone (904) 789-4673, or through Shields, Amie N. via phone (904) 789-4673.

Contact Information

Primary practice address
87616 Roses Bluff Rd Yulee FL 32097-4998
Phone: (904) 789-4673
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Shields, Amie N.
Phone: (904) 789-4673

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Residential Treatment Facilities / Psychiatric Residential Treatment Facility 323P00000X

Profile Details

NPI number 1710614367
LBN Legal business name Bring Your Brokenness Inc
DBA Doing business as Bring Your Brokenness Inc
Authorized official Shields, Amie N.
Entity Organization
Organization subpart 1 No
Enumeration date Aug 3rd, 2022
Last updated Jan 8th, 2024 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1710614367 NPPES
Florida Other 8742 AHCA LICENSE

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