Well Space, Llc

LBN: Well Space, Llc
Well Space, Llc is an health care organization with primary practice located at 4206 Del Prado Blvd S , Cape Coral FL 33904-7154. 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. Well Space, Llc can be contacted via phone (239) 677-6664, or through Robinson Lucero, Katia Jasmin via phone (239) 677-6664.

Contact Information

Primary practice address
4206 Del Prado Blvd S Cape Coral FL 33904-7154
Phone: (239) 677-6664
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Robinson Lucero, Katia Jasmin Licensed Clinical Social Worker (LCSW)
Phone: (239) 677-6664

Health care specialties

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

Profile Details

NPI number 1366030934
LBN Legal business name Well Space, Llc
DBA Doing business as
Authorized official Robinson Lucero, Katia Jasmin Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 8th, 2021
Last updated Jan 8th, 2021 - about 3 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 1366030934 NPPES
Florida MEDICAID 018998800

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