OPTIMAL HEALTH MANAGEMENT NPI 1326597519

NPI Information

NPI: 1326597519
Provider Name: OPTIMAL HEALTH MANAGEMENT
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
753 SE MAIN ST
#204, 205, 212
ROSEBURG, OR
ZIP 97470
Phone: (541) 670-2264
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OPTIMAL HEALTH MANAGEMENT is a mental health counselor in Roseburg, OR. OPTIMAL HEALTH MANAGEMENT NPI is 1326597519. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

753 SE MAIN ST
#204, 205, 212
ROSEBURG, OR
ZIP 97470-938
Phone: (541) 670-2264
Fax: (866) 298-7465

The provider's authorized official is Jessica Brake .
The authorized official title is Co-owner and has the following contact phone number (541) 670-2264.

The enumeration date for this NPI number is 9/28/2016 and was last updated on 9/28/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	106S00000X	Behavior Technician				No
2	101YM0800X	Counselor	Mental Health	C3280	OREGON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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