Wild Pine Wellness Llc

LBN: Wild Pine Wellness Llc
Wild Pine Wellness Llc is an health care organization with primary practice located at 131 Nw Hawthorne Ave Ste 211 , Bend OR 97703-2958. 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. Wild Pine Wellness Llc can be contacted via phone (619) 890-8425, or through Faucher Sherman, Allison via phone (541) 904-0403.

Contact Information

Primary practice address
131 Nw Hawthorne Ave Ste 211 Bend OR 97703-2958
Phone: (619) 890-8425
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Faucher Sherman, Allison Licensed Professional Counselor (LPC)
Phone: (541) 904-0403

Health care specialties

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

Profile Details

NPI number 1740870641
LBN Legal business name Wild Pine Wellness Llc
DBA Doing business as
Authorized official Faucher Sherman, Allison Licensed Professional Counselor (LPC)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 25th, 2021
Last updated Jan 28th, 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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