Elemental Health Clinic Pllc

LBN: Elemental Health Clinic Pllc
Elemental Health Clinic Pllc is an health care organization with primary practice located at 5030 Randall Pkwy , Wilmington NC 28403-2829. The organization recently has 8 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health, Ambulatory Health Care Facilities / Migrant Health, Ambulatory Health Care Facilities / Military/U.S. Coast Guard Outpatient, Ambulatory Health Care Facilities / Multi-Specialty, Ambulatory Health Care Facilities / Physical Therapy, Ambulatory Health Care Facilities / Primary Care. Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. Elemental Health Clinic Pllc can be contacted via phone (910) 240-4757, or through Henzler, Havah Isabel via phone (910) 599-4017.

Contact Information

Primary practice address
5030 Randall Pkwy Wilmington NC 28403-2829
Phone: (910) 240-4757
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Henzler, Havah Isabel LCSW, LCAS
Phone: (910) 599-4017

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X
Ambulatory Health Care Facilities / Migrant Health 261QM1000X
Ambulatory Health Care Facilities / Military/U.S. Coast Guard Outpatient 261QM1100X
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1558015305
LBN Legal business name Elemental Health Clinic Pllc
DBA Doing business as
Authorized official Henzler, Havah Isabel LCSW, LCAS
Entity Organization
Organization subpart 1 No
Enumeration date Feb 10th, 2022
Last updated Feb 10th, 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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