Butterfly Affect
LBN: Butterfly Affect
Butterfly Affect is an health care organization with primary practice located at 4915 I 55 N Frontage Rd Ste C 305 , Jackson MS 39205. The organization recently has only one registered license in Ambulatory Health Care Facilities / Adolescent and Children Mental Health, which is considered as the primary health care specialty.
Butterfly Affect can be contacted via phone (769) 226-6232, or through Green, Jennifer via phone (769) 226-6232.
Contact Information
Primary practice address
4915 I 55 N Frontage Rd Ste C 305
Jackson MS 39205
Phone: (769) 226-6232
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Ambulatory Health Care Facilities / Adolescent and Children Mental Health | 261QM0855X |
Profile Details
NPI number | 1831795095 |
---|---|
LBN Legal business name | Butterfly Affect |
DBA Doing business as | |
Authorized official | Green, Jennifer |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Dec 11th, 2020 |
Last updated | Dec 11th, 2020 - about 5 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 | 1831795095 | NPPES |
Mississippi | MEDICAID | 00754701 |
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