Provider Demographics
NPI:1851115778
Name:LE BIEN, LLC
Entity type:Organization
Organization Name:LE BIEN, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DANA
Authorized Official - Middle Name:L
Authorized Official - Last Name:CASTRO-HERMIDA
Authorized Official - Suffix:
Authorized Official - Credentials:DRA
Authorized Official - Phone:939-372-4460
Mailing Address - Street 1:B3 URB SAN CRISTOBAL
Mailing Address - Street 2:
Mailing Address - City:AGUADA
Mailing Address - State:PR
Mailing Address - Zip Code:00602-2692
Mailing Address - Country:US
Mailing Address - Phone:939-372-4460
Mailing Address - Fax:
Practice Address - Street 1:CARR 417 KM 05 BO PIEDRAS BLANCA DESVIO SUR
Practice Address - Street 2:
Practice Address - City:AGUADA
Practice Address - State:PR
Practice Address - Zip Code:00602-2692
Practice Address - Country:US
Practice Address - Phone:939-372-4460
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-08
Last Update Date:2024-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health