One22 Craft Advisors Corporation

LBN: One22 Craft Advisors Corporation
One22 Craft Advisors Corporation is an health care organization with primary practice located at 626 E Jefferson Ave , Bastrop LA 71220-4619. The organization recently has 6 registered licenses in different health care specialties including Agencies / Case Management, Agencies / Community/Behavioral Health, Hospital Units / Rehabilitation, Substance Use Disorder Unit, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, Residential Treatment Facilities / Substance Abuse Treatment, Children, Respite Care Facility / Respite Care. Agencies / Community/Behavioral Health is the primary health care specialty. One22 Craft Advisors Corporation can be contacted via phone (214) 566-9833, or through Morrow, Montavian via phone (214) 566-9833.

Contact Information

Primary practice address
626 E Jefferson Ave Bastrop LA 71220-4619
Phone: (214) 566-9833
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Morrow, Montavian
Phone: (214) 566-9833

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X
Agencies / Community/Behavioral Health 251S00000X
Hospital Units / Rehabilitation, Substance Use Disorder Unit 276400000X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X
Residential Treatment Facilities / Substance Abuse Treatment, Children 3245S0500X
Respite Care Facility / Respite Care 385H00000X

Profile Details

NPI number 1952935942
LBN Legal business name One22 Craft Advisors Corporation
DBA Doing business as
Authorized official Morrow, Montavian
Entity Organization
Organization subpart 1 No
Enumeration date Feb 27th, 2020
Last updated Feb 27th, 2020 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1952935942 NPPES
Louisiana MEDICAID BH0011581

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