<Unavail>
LBN: Kristi Holmberg
<Unavail> is an health care organization with primary practice located at 497 Sw Century Dr Ste 102 , Bend OR 97702-1167. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty.
Kristi Holmberg can be contacted via phone (458) 292-9972, or through Holmberg, Kristin Simons via phone (458) 292-9972.
Contact Information
Primary practice address
497 Sw Century Dr Ste 102
Bend OR 97702-1167
Phone: (458) 292-9972
Fax: (541) 318-0058
Website:
Authorized official contact:
Name: Holmberg, Kristin Simons Licensed Clinical Social Worker (LCSW)
Phone: (458) 292-9972
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X |
Profile Details
| NPI number | 1003451253 |
|---|---|
| LBN Legal business name | Kristi Holmberg |
| DBA Doing business as | <Unavail> |
| Authorized official | Holmberg, Kristin Simons Licensed Clinical Social Worker (LCSW) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 12th, 2019 |
| Last updated | Jun 20th, 2022 - about 4 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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