Amethyst Agency Of Broward

LBN: Lanshel, Inc.
Amethyst Agency Of Broward is an health care organization with primary practice located at 4850 W Oakland Park Blvd Ste 145 , Lauderdale Lakes FL 33313-7277. The organization recently has 3 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health. Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. Lanshel, Inc. can be contacted via phone (954) 933-3407, or through Lange, Sandra K via phone (954) 401-5675.

Contact Information

Primary practice address
4850 W Oakland Park Blvd Ste 145 Lauderdale Lakes FL 33313-7277
Phone: (954) 933-3407
Fax: (754) 205-4528
Website:
Map and Directions
Authorized official contact:
Name: Lange, Sandra K PSY.D.
Phone: (954) 401-5675

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X

Profile Details

NPI number 1396253027
LBN Legal business name Lanshel, Inc.
DBA Doing business as Amethyst Agency Of Broward
Authorized official Lange, Sandra K PSY.D.
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 16th, 2018
Last updated Dec 18th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1396253027 NPPES
Florida MEDICAID 107203000
Florida MEDICAID 1336597590

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