Brokenshells Consulting Llc
LBN: Brokenshells Consulting Llc
Brokenshells Consulting Llc is an health care organization with primary practice located at 800 N Rainbow Blvd Ste 208 , Las Vegas NV 89107-1193. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty.
Brokenshells Consulting Llc can be contacted via phone (404) 428-0019, or through Smith, Jazmine via phone (404) 428-0019.
Contact Information
Primary practice address
800 N Rainbow Blvd Ste 208
Las Vegas NV 89107-1193
Phone: (404) 428-0019
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X |
Profile Details
NPI number | 1790357648 |
---|---|
LBN Legal business name | Brokenshells Consulting Llc |
DBA Doing business as | |
Authorized official | Smith, Jazmine MFT-I |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jul 12th, 2021 |
Last updated | Jul 12th, 2021 - about 4 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 | 1790357648 | NPPES |
Nevada | MEDICAID | 82-2143136 |
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