Southern Oregon Mental Health Services, Llc

LBN: Southern Oregon Mental Health Services, Llc
Southern Oregon Mental Health Services, Llc is an health care organization with primary practice located at 328 S Central Ave Ste 211 , Medford OR 97501-7274. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Southern Oregon Mental Health Services, Llc can be contacted via phone (541) 531-6312, or through Chaney, Noel via phone (541) 531-6312.

Contact Information

Primary practice address
328 S Central Ave Ste 211 Medford OR 97501-7274
Fax: (888) 281-8465
Website:
Authorized official contact:
Name: Chaney, Noel Licensed Clinical Social Worker (LCSW)

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X L7604 Oregon

Profile Details

NPI number 1932685963
LBN Legal business name Southern Oregon Mental Health Services, Llc
DBA Doing business as
Authorized official Chaney, Noel Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 12th, 2018
Last updated Jul 12th, 2018 - about 8 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 1932685963 NPPES
Oregon MEDICAID 1942580816

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