Tabula Rasa Wellness Llc

LBN: Tabula Rasa Wellness Llc
Tabula Rasa Wellness Llc is an health care organization with primary practice located at 2105 Liberty St Ne , Salem OR 97301-8353. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Clinical, Ambulatory Health Care Facilities / Adult Mental Health. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty. Tabula Rasa Wellness Llc can be contacted via phone (503) 967-3428, or through Crowner, Lindsay via phone (509) 430-7578.

Contact Information

Primary practice address
2105 Liberty St Ne Salem OR 97301-8353
Phone: (503) 967-3428
Fax: (503) 967-3683
Website:
Map and Directions
Authorized official contact:
Name: Crowner, Lindsay Licensed Clinical Social Worker (LCSW)
Phone: (509) 430-7578

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X

Profile Details

NPI number 1205300837
LBN Legal business name Tabula Rasa Wellness Llc
DBA Doing business as
Authorized official Crowner, Lindsay Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 16th, 2019
Last updated Jan 31st, 2021 - about 5 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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