Radical Nest Llc

LBN: Radical Nest Llc
Radical Nest Llc is an health care organization with primary practice located at 880 Liberty St Ne Ste 109 , Salem OR 97301-2450. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Radical Nest Llc can be contacted via phone (971) 345-4119, or through Harvey, Michelle via phone (971) 345-4119.

Contact Information

Primary practice address
880 Liberty St Ne Ste 109 Salem OR 97301-2450
Phone: (971) 345-4119
Fax: (971) 345-4149
Website:
Map and Directions
Authorized official contact:
Name: Harvey, Michelle Licensed Clinical Social Worker (LCSW)
Phone: (971) 345-4119

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1649874488
LBN Legal business name Radical Nest Llc
DBA Doing business as
Authorized official Harvey, Michelle Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 23rd, 2020
Last updated Mar 14th, 2024 - 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.

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