Self

LBN: Health Releaf Llc
Self is an health care organization with primary practice located at 1406B Crain Hwy S Ste 304 , Glen Burnie MD 21061-4094. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as the primary health care specialty. Health Releaf Llc can be contacted via phone (301) 804-0344, or through Boatman, Donna via phone (301) 399-6874.

Contact Information

Primary practice address
1406B Crain Hwy S Ste 304 Glen Burnie MD 21061-4094
Phone: (301) 804-0344
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Boatman, Donna
Phone: (301) 399-6874

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X

Profile Details

NPI number 1770255291
LBN Legal business name Health Releaf Llc
DBA Doing business as Self
Authorized official Boatman, Donna
Entity Organization
Organization subpart 1 No
Enumeration date Oct 3rd, 2021
Last updated Dec 19th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1770255291 NPPES
Maryland MEDICAID 633004500

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