Built For Growth Llc

LBN: Built For Growth Llc
Built For Growth Llc is an health care organization with primary practice located at 84 Front St Ste A , Port Jervis NY 12771-2415. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Built For Growth Llc can be contacted via phone (718) 913-0234, or through Blair, Marcela via phone (718) 913-0234.

Contact Information

Primary practice address
84 Front St Ste A Port Jervis NY 12771-2415
Phone: (718) 913-0234
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Blair, Marcela Licensed Clinical Social Worker (LCSW)
Phone: (718) 913-0234

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1790495364
LBN Legal business name Built For Growth Llc
DBA Doing business as
Authorized official Blair, Marcela Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 5th, 2022
Last updated Dec 5th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1790495364 NPPES
New York MEDICAID 757683

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