Cory Cove Wellness Llc

LBN: Cory Cove Wellness Llc
Cory Cove Wellness Llc is an health care organization with primary practice located at 41 Highland St , Auburn MA 01501-2035. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Group Psychotherapy, which is considered as the primary health care specialty. Cory Cove Wellness Llc can be contacted via phone (774) 432-3063, or through Pendexter, Kasey via phone (774) 432-3063.

Contact Information

Primary practice address
41 Highland St Auburn MA 01501-2035
Phone: (774) 432-3063
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Pendexter, Kasey
Phone: (774) 432-3063

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Group Psychotherapy 103TP2701X

Profile Details

NPI number 1235709817
LBN Legal business name Cory Cove Wellness Llc
DBA Doing business as
Authorized official Pendexter, Kasey
Entity Organization
Organization subpart 1 No
Enumeration date Jun 28th, 2021
Last updated Jun 28th, 2021 - about 3 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 1235709817 NPPES
Massachusetts MEDICAID 1992084321

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