Mangata Wellness, Inc
LBN: Mangata Wellness, Inc
Mangata Wellness, Inc is an health care organization with primary practice located at 388 State St Ste 704 , Salem OR 97301-4023. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Group Psychotherapy. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty.
Mangata Wellness, Inc can be contacted via phone (503) 917-9623, or through White, Lola via phone (503) 917-9623.
Contact Information
Primary practice address
388 State St Ste 704
Salem OR 97301-4023
Phone: (503) 917-9623
Fax: (503) 919-6050
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | ||
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | ||
| Behavioral Health & Social Service Providers / Group Psychotherapy | 103TP2701X | ||
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X |
Profile Details
| NPI number | 1790419158 |
|---|---|
| LBN Legal business name | Mangata Wellness, Inc |
| DBA Doing business as | |
| Authorized official | White, Lola PSYD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 12th, 2022 |
| Last updated | Jul 12th, 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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