Shade Tree Counseling
LBN: Shade Tree Counseling
Shade Tree Counseling is an health care organization with primary practice located at 4210 Barrett St S , Salem OR 97302-6106. 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.
Shade Tree Counseling can be contacted via phone (503) 949-1026, or through Nielsen, Robert Wayne via phone (503) 949-1026.
Contact Information
Primary practice address
4210 Barrett St S
Salem OR 97302-6106
Phone: (503) 949-1026
Fax:
Website:
Authorized official contact:
Name: Nielsen, Robert Wayne Licensed Clinical Social Worker (LCSW)
Phone: (503) 949-1026
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X |
Profile Details
NPI number | 1023688439 |
---|---|
LBN Legal business name | Shade Tree Counseling |
DBA Doing business as | |
Authorized official | Nielsen, Robert Wayne Licensed Clinical Social Worker (LCSW) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jun 28th, 2021 |
Last updated | Jun 28th, 2021 - about 4 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1023688439 | NPPES |
Oregon | MEDICAID | 1861556425 | |
Oregon | MEDICAID | 1508083601 | |
Oregon | MEDICAID | 1902279334 |
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