Inner Spark Therapy Llc

LBN: Inner Spark Therapy Llc
Inner Spark Therapy Llc is an health care organization with primary practice located at 134 S Wasson St , Coos Bay OR 97420-3235. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Inner Spark Therapy Llc can be contacted via phone (971) 266-4355, or through Daugherty Calhoun, Corina via phone (971) 266-4355.

Contact Information

Primary practice address
134 S Wasson St Coos Bay OR 97420-3235
Phone: (971) 266-4355
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Daugherty Calhoun, Corina Licensed Clinical Social Worker (LCSW)
Phone: (971) 266-4355

Health care specialties

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

Profile Details

NPI number 1295519312
LBN Legal business name Inner Spark Therapy Llc
DBA Doing business as
Authorized official Daugherty Calhoun, Corina Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 21st, 2023
Last updated Aug 21st, 2023 - about last year

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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