Krystal Farnum

LBN: Shake It Up Foundation Llc
Krystal Farnum is an health care organization with primary practice located at 6919 W Broward Blvd Ste 151 , Plantation FL 33317-2902. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. Shake It Up Foundation Llc can be contacted via phone (954) 283-0747, or through Farnum, Krystal via phone (570) 540-3465.

Contact Information

Primary practice address
6919 W Broward Blvd Ste 151 Plantation FL 33317-2902
Phone: (954) 283-0747
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Farnum, Krystal M.S. LMHC
Phone: (570) 540-3465

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X

Profile Details

NPI number 1457983777
LBN Legal business name Shake It Up Foundation Llc
DBA Doing business as Krystal Farnum
Authorized official Farnum, Krystal M.S. LMHC
Entity Organization
Organization subpart 1 No
Enumeration date Feb 5th, 2020
Last updated Feb 5th, 2020 - about 4 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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