Light Mind Wellness

LBN: Light Mind Wellness
Light Mind Wellness is an health care organization with primary practice located at 6734 Se Raymond St , Portland OR 97206-4520. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as the primary health care specialty. Light Mind Wellness can be contacted via phone (503) 926-9567, or through Perretta, Julia via phone (503) 926-9567.

Contact Information

Primary practice address
6734 Se Raymond St Portland OR 97206-4520
Phone: (503) 926-9567
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Perretta, Julia LMFT
Phone: (503) 926-9567

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X

Profile Details

NPI number 1174111561
LBN Legal business name Light Mind Wellness
DBA Doing business as Light Mind Wellness
Authorized official Perretta, Julia LMFT
Entity Organization
Organization subpart 1 No
Enumeration date Jan 1st, 2021
Last updated Feb 15th, 2021 - about 3 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 1174111561 NPPES
Other 1518377167 PERSONAL NPI

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