Revamp Creative, Llc

LBN: Revamp Creative, Llc
Revamp Creative, Llc is an health care organization with primary practice located at 3939 Ne Hancock St Ste 117 , Portland OR 97212-5321. The organization recently has 7 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Agencies / Case Management, Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness. Ambulatory Health Care Facilities / Adult Mental Health is the primary health care specialty. Revamp Creative, Llc can be contacted via phone (503) 929-7750, or through Davisson, Heidi Petra via phone (503) 929-7750.

Contact Information

Primary practice address
3939 Ne Hancock St Ste 117 Portland OR 97212-5321
Phone: (503) 929-7750
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Davisson, Heidi Petra Licensed Professional Counselor (LPC)
Phone: (503) 929-7750

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Agencies / Case Management 251B00000X
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X

Profile Details

NPI number 1306523568
LBN Legal business name Revamp Creative, Llc
DBA Doing business as
Authorized official Davisson, Heidi Petra Licensed Professional Counselor (LPC)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 29th, 2023
Last updated Apr 8th, 2024 - about 2 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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