Branches Of Change Counseling Llc

LBN: Branches Of Change Counseling Llc
Branches Of Change Counseling Llc is an health care organization with primary practice located at 161 High St Se Ste 202 , Salem OR 97301-3610. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical, Ambulatory Health Care Facilities / Adult Mental Health. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty. Branches Of Change Counseling Llc can be contacted via phone (509) 902-5930, or through Faughender, Lacey Marie via phone (503) 902-5930.

Contact Information

Primary practice address
161 High St Se Ste 202 Salem OR 97301-3610
Phone: (509) 902-5930
Fax: (503) 917-5991
Website:
Map and Directions
Authorized official contact:
Name: Faughender, Lacey Marie Licensed Clinical Social Worker (LCSW)
Phone: (503) 902-5930

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X

Profile Details

NPI number 1770202517
LBN Legal business name Branches Of Change Counseling Llc
DBA Doing business as
Authorized official Faughender, Lacey Marie Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 24th, 2022
Last updated Aug 24th, 2022 - about 2 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 1770202517 NPPES
Oregon MEDICAID 500685336

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