Self Determination, Llc

LBN: Self Determination, Llc
Self Determination, Llc is an health care organization with primary practice located at 423 Millsap Rd , Shelby NC 28150. The organization recently has 3 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children. Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children is the primary health care specialty. Self Determination, Llc can be contacted via phone (704) 600-6092, or through Jeffries, Anne via phone (980) 297-8964.

Contact Information

Primary practice address
423 Millsap Rd Shelby NC 28150
Fax:
Website:
Authorized official contact:
Name: Jeffries, Anne BC-HSP

Profile Details

NPI number 1972954113
LBN Legal business name Self Determination, Llc
DBA Doing business as
Authorized official Jeffries, Anne BC-HSP
Entity Organization
Organization subpart 1 No
Enumeration date Jun 29th, 2016
Last updated Dec 8th, 2022 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1972954113 NPPES
North Carolina MEDICAID H2020

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