Refined Therapy Group, Llc

LBN: Refined Therapy Group, Llc
Refined Therapy Group, Llc is an health care organization with primary practice located at 1403 43Rd Ave Ste D , Gulfport MS 39501-2545. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Refined Therapy Group, Llc can be contacted via phone (601) 215-5545, or through Cornelius, Riva via phone (228) 493-9141.

Contact Information

Primary practice address
1403 43Rd Ave Ste D Gulfport MS 39501-2545
Phone: (601) 215-5545
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Cornelius, Riva Licensed Clinical Social Worker (LCSW)
Phone: (228) 493-9141

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1003555079
LBN Legal business name Refined Therapy Group, Llc
DBA Doing business as
Authorized official Cornelius, Riva Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date May 30th, 2022
Last updated Jan 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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