Icarus Counseling Inc
LBN: Icarus Counseling Inc
Icarus Counseling Inc is an health care organization with primary practice located at 161 High St Se Ste 204 , Salem OR 97301-3610. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Counselor is the primary health care specialty.
Icarus Counseling Inc can be contacted via phone (503) 581-7550, or through Gagliardo, Anthony via phone (503) 581-7550.
Contact Information
Primary practice address
161 High St Se Ste 204
Salem OR 97301-3610
Phone: (503) 581-7550
Fax: (503) 581-7550
Website:
Authorized official contact:
Name: Gagliardo, Anthony Licensed Clinical Social Worker (LCSW)
Phone: (503) 581-7550
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | L0280 | Oregon |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | L0280 | Oregon |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | L0280 | Oregon |
Profile Details
| NPI number | 1861576340 |
|---|---|
| LBN Legal business name | Icarus Counseling Inc |
| DBA Doing business as | |
| Authorized official | Gagliardo, Anthony Licensed Clinical Social Worker (LCSW) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 24th, 2006 |
| Last updated | Aug 22nd, 2020 - about 6 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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