Autumn Leaf Therapeutic Services

LBN: Autumn Leaf Therapeutic Services
Autumn Leaf Therapeutic Services is an health care organization with primary practice located at 3857 Wolverine St Ne Ste 6 , Salem OR 97305-4274. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Agencies / Community/Behavioral Health. Agencies / Community/Behavioral Health is the primary health care specialty. Autumn Leaf Therapeutic Services can be contacted via phone (503) 856-6430, or through Ellis, Carilyn Claire via phone (503) 856-6430.

Contact Information

Primary practice address
3857 Wolverine St Ne Ste 6 Salem OR 97305-4274
Phone: (503) 856-6430
Fax: (503) 877-1920
Website:
Map and Directions
Authorized official contact:
Name: Ellis, Carilyn Claire PSYD, MSCP
Phone: (503) 856-6430

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1689209371
LBN Legal business name Autumn Leaf Therapeutic Services
DBA Doing business as
Authorized official Ellis, Carilyn Claire PSYD, MSCP
Entity Organization
Organization subpart 1 No
Enumeration date Mar 3rd, 2020
Last updated Mar 5th, 2020 - 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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