Hope Mental Wellness Llc
LBN: Hope Mental Wellness
Hope Mental Wellness Llc is an health care organization with primary practice located at 632 Anderson Ave , Coos Bay OR 97420-1632. The organization recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is the primary health care specialty.
Hope Mental Wellness can be contacted via phone (541) 236-2086, or through Hope, Jennifer Dawn via phone (541) 236-2086.
Contact Information
Primary practice address
632 Anderson Ave
Coos Bay OR 97420-1632
Phone: (541) 236-2086
Fax: (541) 214-2897
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X |
Profile Details
| NPI number | 1083321400 |
|---|---|
| LBN Legal business name | Hope Mental Wellness |
| DBA Doing business as | Hope Mental Wellness Llc |
| Authorized official | Hope, Jennifer Dawn PMHNP-BC, FNP-BC |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 4th, 2022 |
| Last updated | Aug 31st, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083321400 | NPPES |
| Oregon | MEDICAID | 500794087 |
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