Octavia & Main, Llc

LBN: Octavia & Main, Llc
Octavia & Main, Llc is an health care organization with primary practice located at 1131 Queensborough Blvd Ste 100 , Mt Pleasant SC 29464-5430. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Mental Health, which is considered as the primary health care specialty. Octavia & Main, Llc can be contacted via phone (843) 606-6223, or through Brooks, Marc A. via phone (919) 986-2962.

Contact Information

Primary practice address
1131 Queensborough Blvd Ste 100 Mt Pleasant SC 29464-5430
Phone: (843) 606-6223
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Brooks, Marc A.
Phone: (919) 986-2962

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Mental Health 225XM0800X

Profile Details

NPI number 1174170542
LBN Legal business name Octavia & Main, Llc
DBA Doing business as
Authorized official Brooks, Marc A.
Entity Organization
Organization subpart 1 No
Enumeration date Aug 21st, 2019
Last updated Aug 21st, 2019 - about 5 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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