Big Sky Mind, Llc

LBN: Big Sky Mind, Llc
Big Sky Mind, Llc is an health care organization with primary practice located at 2900 Nw Clearwater Dr Ste 310 , Bend OR 97703-9412. 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. Big Sky Mind, Llc can be contacted via phone (541) 668-6678, or through Klaybor, Adam via phone (541) 668-6678.

Contact Information

Primary practice address
2900 Nw Clearwater Dr Ste 310 Bend OR 97703-9412
Phone: (541) 668-6678
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Klaybor, Adam Licensed Clinical Social Worker (LCSW)
Phone: (541) 668-6678

Health care specialties

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

Profile Details

NPI number 1699446450
LBN Legal business name Big Sky Mind, Llc
DBA Doing business as
Authorized official Klaybor, Adam Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 22nd, 2021
Last updated Sep 22nd, 2021 - about 5 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 1699446450 NPPES
Oregon MEDICAID 500794020

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