Sprouted Sage Llc

LBN: Sprouted Sage Llc
Sprouted Sage Llc is an health care organization with primary practice located at 300 N 5Th Ave Ste 210 , Ann Arbor MI 48104-1447. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as the primary health care specialty. Sprouted Sage Llc can be contacted via phone (734) 222-9277, or through Naguib, Suzi via phone (734) 222-9277.

Contact Information

Primary practice address
300 N 5Th Ave Ste 210 Ann Arbor MI 48104-1447
Phone: (734) 222-9277
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Naguib, Suzi PSY.D.
Phone: (734) 222-9277

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X

Profile Details

NPI number 1235703257
LBN Legal business name Sprouted Sage Llc
DBA Doing business as
Authorized official Naguib, Suzi PSY.D.
Entity Organization
Organization subpart 1 No
Enumeration date May 14th, 2021
Last updated May 14th, 2021 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1235703257 NPPES
Other 12311188 CAQH ID

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