Sport Psyence, Llc

LBN: Sport Psyence, Llc
Sport Psyence, Llc is an health care organization with primary practice located at 5 S Montague St , Arlington VA 22204-1007. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Exercise & Sports. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty. Sport Psyence, Llc can be contacted via phone (703) 594-6585, or through Cargill, Amber Ronai via phone (703) 594-6585.

Contact Information

Primary practice address
5 S Montague St Arlington VA 22204-1007
Phone: (703) 594-6585
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Cargill, Amber Ronai PSY.D.
Phone: (703) 594-6585

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X
Behavioral Health & Social Service Providers / Exercise & Sports 103TE1100X

Profile Details

NPI number 1841802816
LBN Legal business name Sport Psyence, Llc
DBA Doing business as
Authorized official Cargill, Amber Ronai PSY.D.
Entity Organization
Organization subpart 1 No
Enumeration date Aug 20th, 2020
Last updated Aug 20th, 2020 - about 5 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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