B/Ba Performance Weight Loss And Medispa

LBN: Diva Weight Loss Llc
B/Ba Performance Weight Loss And Medispa is an health care organization with primary practice located at 604 Goodridge Dr Suite A, Ridgeland MS 39157-4402. The organization recently has only one registered license in Ambulatory Health Care Facilities / Health Service, which is considered as the primary health care specialty. Diva Weight Loss Llc can be contacted via phone (769) 251-1040, or through Johnson, Caryn Alison via phone (601) 624-5840.

Contact Information

Primary practice address
604 Goodridge Dr Suite A Ridgeland MS 39157-4402
Phone: (769) 251-1040
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Caryn Alison Certified Family Nurse Practitioner (CFNP)
Phone: (601) 624-5840

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Health Service 261QH0100X R869964 Mississippi

Profile Details

NPI number 1417230186
LBN Legal business name Diva Weight Loss Llc
DBA Doing business as B/Ba Performance Weight Loss And Medispa
Authorized official Johnson, Caryn Alison Certified Family Nurse Practitioner (CFNP)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2011
Last updated Feb 13th, 2012 - about 13 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.

Request for update

Popular Providers