Women'S Mental Health Of Southern Oregon

LBN: Women'S Mental Health Of Southern Oregon
Women'S Mental Health Of Southern Oregon is an health care organization with primary practice located at 33 N Central Ave Ste 409 , Medford OR 97501-5939. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as the primary health care specialty. Women'S Mental Health Of Southern Oregon can be contacted via phone (541) 840-5926, or through Green, Jackie via phone (541) 840-5926.

Contact Information

Primary practice address
33 N Central Ave Ste 409 Medford OR 97501-5939
Phone: (541) 840-5926
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Green, Jackie Licensed Professional Counselor (LPC)
Phone: (541) 840-5926

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X C4548 Oregon

Profile Details

NPI number 1407377997
LBN Legal business name Women'S Mental Health Of Southern Oregon
DBA Doing business as
Authorized official Green, Jackie Licensed Professional Counselor (LPC)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 5th, 2017
Last updated Jul 21st, 2022 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1407377997 NPPES
Oregon MEDICAID 1144638255

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