Broca Life Options Llc

LBN: Broca Life Options Llc
Broca Life Options Llc is an health care organization with primary practice located at 1492 S Mill Ave Ste. 114, Tempe AZ 85281-5652. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as the primary health care specialty. Broca Life Options Llc can be contacted via phone (480) 557-5710, or through Brown Cabezudo, L Emily via phone (480) 557-5710.

Contact Information

Primary practice address
1492 S Mill Ave Ste. 114 Tempe AZ 85281-5652
Fax: (480) 557-5712
Website:
Authorized official contact:
Name: Brown Cabezudo, L Emily PHD

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 3576 Arizona

Profile Details

NPI number 1710106489
LBN Legal business name Broca Life Options Llc
DBA Doing business as
Authorized official Brown Cabezudo, L Emily PHD
Entity Organization
Organization subpart 1 No
Enumeration date Apr 24th, 2007
Last updated Jun 2nd, 2010 - 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 1710106489 NPPES
Arizona Other 700885-000 MAGELLAN
Arizona Other 8951723 MAGELLAN
Arizona Other AZ0618080 MAGELLAN
Arizona Other 700885000 MAGELLAN

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