Headspace Llc

LBN: Headspace Llc
Headspace Llc is an health care organization with primary practice located at 433 Silas Deane Hwy , Wethersfield CT 06109-2123. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Headspace Llc can be contacted via phone (860) 837-0300, or through Burgos, Samantha via phone (860) 837-0300.

Contact Information

Primary practice address
433 Silas Deane Hwy Wethersfield CT 06109-2123
Phone: (860) 837-0300
Fax: (860) 540-1069
Website:
Map and Directions
Authorized official contact:
Name: Burgos, Samantha Licensed Clinical Social Worker (LCSW)
Phone: (860) 837-0300

Health care specialties

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

Profile Details

NPI number 1083229355
LBN Legal business name Headspace Llc
DBA Doing business as
Authorized official Burgos, Samantha Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 13th, 2020
Last updated Sep 13th, 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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