Healthcare Provider Details

I. General information

NPI: 1467886911
Provider Name (Legal Business Name): ANIMATE CONSULTING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2013
Last Update Date: 02/26/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5900 HOLLIS ST STE X
EMERYVILLE CA
94608-2008
US

IV. Provider business mailing address

5900 HOLLIS ST STE X
EMERYVILLE CA
94608-2008
US

V. Phone/Fax

Practice location:
  • Phone: 510-500-5124
  • Fax: 510-380-6122
Mailing address:
  • Phone: 510-500-5124
  • Fax: 510-380-6122

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State

VIII. Authorized Official

Name: ARNOLD LORENZO
Title or Position: MEDICAL BILLING SPECIALIST
Credential:
Phone: 510-500-5124