Mythic Massage Llc

LBN: Mythic Massage Llc
Mythic Massage Llc is an health care organization with primary practice located at 5701 Executive Center Dr Ste 350 , Charlotte NC 28212-8847. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Pain. Ambulatory Health Care Facilities / Clinic/Center is the primary health care specialty. Mythic Massage Llc can be contacted via phone (704) 323-6718, or through Gomez, Meww via phone (704) 323-6718.

Contact Information

Primary practice address
5701 Executive Center Dr Ste 350 Charlotte NC 28212-8847
Phone: (704) 323-6718
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gomez, Meww LMBT
Phone: (704) 323-6718

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X
Ambulatory Health Care Facilities / Pain 261QP3300X

Profile Details

NPI number 1093339269
LBN Legal business name Mythic Massage Llc
DBA Doing business as
Authorized official Gomez, Meww LMBT
Entity Organization
Organization subpart 1 No
Enumeration date Jun 3rd, 2020
Last updated Nov 8th, 2023 - 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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