Wise Ccc

LBN: Wise Ccc
Wise Ccc is an health care organization with primary practice located at 1650 S Fm 51 Ste 400 , Decatur TX 76234-3630. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. Wise Ccc can be contacted via phone (940) 627-1618, or through Ross, Beverly Joann via phone (940) 627-1618.

Contact Information

Primary practice address
1650 S Fm 51 Ste 400 Decatur TX 76234-3630
Phone: (940) 627-1618
Fax: (940) 393-0429
Website:
Map and Directions
Authorized official contact:
Name: Ross, Beverly Joann M.A., LPC-S
Phone: (940) 627-1618

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X

Profile Details

NPI number 1407504939
LBN Legal business name Wise Ccc
DBA Doing business as
Authorized official Ross, Beverly Joann M.A., LPC-S
Entity Organization
Organization subpart 1 No
Enumeration date Mar 14th, 2022
Last updated Mar 14th, 2022 - 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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