Spirit Clinic Llc

LBN: Spirit Clinic Llc
Spirit Clinic Llc is an health care organization with primary practice located at 64 Wall St Ste 306 , Norwalk CT 06850-3403. 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. Spirit Clinic Llc can be contacted via phone (347) 622-9524, or through Sampson, Cristal via phone (347) 622-9524.

Contact Information

Primary practice address
64 Wall St Ste 306 Norwalk CT 06850-3403
Phone: (347) 622-9524
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Sampson, Cristal PMHNP-BC
Phone: (347) 622-9524

Health care specialties

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

Profile Details

NPI number 1770122947
LBN Legal business name Spirit Clinic Llc
DBA Doing business as
Authorized official Sampson, Cristal PMHNP-BC
Entity Organization
Organization subpart 1 No
Enumeration date Jan 5th, 2020
Last updated Jan 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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Identifiers

StateTypeNumberIssuer
All States NPI 1770122947 NPPES
Other 1942700430 NPI

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