Grapevine Clinical Llc

LBN: Grapevine Clinical Llc
Grapevine Clinical Llc is an health care organization with primary practice located at 666 Walnut St Ste 1610 , Des Moines IA 50309-3974. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Grapevine Clinical Llc can be contacted via phone (515) 360-0034, or through Tillgren, Wendy via phone (515) 369-0034.

Contact Information

Primary practice address
666 Walnut St Ste 1610 Des Moines IA 50309-3974
Phone: (515) 360-0034
Fax: (844) 381-0919
Website:
Map and Directions
Authorized official contact:
Name: Tillgren, Wendy
Phone: (515) 369-0034

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 007572 Iowa
Behavioral Health & Social Service Providers / Clinical 1041C0700X 05815 Iowa
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1952837809
LBN Legal business name Grapevine Clinical Llc
DBA Doing business as
Authorized official Tillgren, Wendy
Entity Organization
Organization subpart 1 No
Enumeration date May 11th, 2017
Last updated Jul 26th, 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.

Request for update

Popular Providers