Potentials, Llc

LBN: Potentials, Llc
Potentials, Llc is an health care organization with primary practice located at 100 39Th St Pier 39 , Astoria OR 97103-2499. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Potentials, Llc can be contacted via phone (503) 325-2398, or through Dedolph, Dana S via phone (503) 325-2398.

Contact Information

Primary practice address
100 39Th St Pier 39 Astoria OR 97103-2499
Phone: (503) 325-2398
Fax: (503) 325-5932
Website:
Map and Directions
Authorized official contact:
Name: Dedolph, Dana S MA, LPC
Phone: (503) 325-2398

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X C1489 Oregon

Profile Details

NPI number 1710173802
LBN Legal business name Potentials, Llc
DBA Doing business as
Authorized official Dedolph, Dana S MA, LPC
Entity Organization
Organization subpart 1 No
Enumeration date Sep 21st, 2007
Last updated Sep 21st, 2007 - about 19 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.

Request for update

Popular Providers