Self-Awareness, Llc

LBN: Self-Awareness, Llc
Self-Awareness, Llc is an health care organization with primary practice located at 2301 Forest Ave , Des Moines IA 50311-3113. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, which is considered as the primary health care specialty. Self-Awareness, Llc can be contacted via phone (515) 277-0320, or through Miller, Jerome via phone (515) 277-0320.

Contact Information

Primary practice address
2301 Forest Ave Des Moines IA 50311-3113
Phone: (515) 277-0320
Fax: (515) 277-0358
Website:
Map and Directions
Authorized official contact:
Name: Miller, Jerome CADC
Phone: (515) 277-0320

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X 1377 Iowa

Profile Details

NPI number 1760859680
LBN Legal business name Self-Awareness, Llc
DBA Doing business as
Authorized official Miller, Jerome CADC
Entity Organization
Organization subpart 1 No
Enumeration date Aug 26th, 2015
Last updated Aug 26th, 2015 - about 10 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 1760859680 NPPES
Iowa Other 601004190 MAGELLAN

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