Stomptherapy Llc

LBN: Stomptherapy Llc
Stomptherapy Llc is an health care organization with primary practice located at 201 Duck Creek Ln , Georgetown TX 78633-4114. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Stomptherapy Llc can be contacted via phone (850) 543-7776, or through Nicklen, Gerald David via phone (850) 543-7776.

Contact Information

Primary practice address
201 Duck Creek Ln Georgetown TX 78633-4114
Phone: (850) 543-7776
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Nicklen, Gerald David LICSW
Phone: (850) 543-7776

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 60420 Texas

Profile Details

NPI number 1235585837
LBN Legal business name Stomptherapy Llc
DBA Doing business as
Authorized official Nicklen, Gerald David LICSW
Entity Organization
Organization subpart 1 No
Enumeration date May 12th, 2016
Last updated May 12th, 2016 - about 9 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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