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:
Map and Directions
Authorized official contact:
Name: Green, Jennifer
Phone: (769) 226-6232

Health care specialties

SpecialtyCodeLicense #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 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831795095 NPPES
Mississippi MEDICAID 00754701

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