Tabula Rasa Wellness Llc
LBN: Tabula Rasa Wellness Llc
Tabula Rasa Wellness Llc is an health care organization with primary practice located at 2105 Liberty St Ne , Salem OR 97301-8353. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Clinical, Ambulatory Health Care Facilities / Adult Mental Health. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty.
Tabula Rasa Wellness Llc can be contacted via phone (503) 967-3428, or through Crowner, Lindsay via phone (509) 430-7578.
Contact Information
Primary practice address
2105 Liberty St Ne
Salem OR 97301-8353
Phone: (503) 967-3428
Fax: (503) 967-3683
Website:
Authorized official contact:
Name: Crowner, Lindsay Licensed Clinical Social Worker (LCSW)
Phone: (509) 430-7578
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | ||
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ||
| Ambulatory Health Care Facilities / Adult Mental Health | 261QM0850X |
Profile Details
| NPI number | 1205300837 |
|---|---|
| LBN Legal business name | Tabula Rasa Wellness Llc |
| DBA Doing business as | |
| Authorized official | Crowner, Lindsay Licensed Clinical Social Worker (LCSW) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 16th, 2019 |
| Last updated | Jan 31st, 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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