Veronica Petkus, Llc

LBN: Veronica Petkus, Llc
Veronica Petkus, Llc is an health care organization with primary practice located at 418 Treemont Dr , Orange City FL 32763-7978. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as the primary health care specialty. Veronica Petkus, Llc can be contacted via phone (386) 212-3643, or through Petkus, Veronica via phone (386) 212-3643.

Contact Information

Primary practice address
418 Treemont Dr Orange City FL 32763-7978
Phone: (386) 212-3643
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Petkus, Veronica LMHC
Phone: (386) 212-3643

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1780146100
LBN Legal business name Veronica Petkus, Llc
DBA Doing business as
Authorized official Petkus, Veronica LMHC
Entity Organization
Organization subpart 1 No
Enumeration date Apr 3rd, 2019
Last updated Jun 11th, 2019 - 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 1780146100 NPPES
Florida Other 1134530934 NPI INDIVIDUAL

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