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BEND MENTAL WELLNESS LLC NPI 1407446743


NPI Information

NPI: 1407446743
Provider Name: BEND MENTAL WELLNESS LLC
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
19855 4TH ST STE 106
BEND, OR
ZIP 97703
Phone: (541) 357-7686
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BEND MENTAL WELLNESS LLC is a professional counselor in Bend, OR. BEND MENTAL WELLNESS LLC NPI is 1407446743. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

19855 4TH ST STE 106
BEND, OR
ZIP 97703-814
Phone: (541) 357-7686

The provider's authorized official is Edgar Julian Caballero .
The authorized official title is Owner and has the following contact phone number (541) 357-7686.

The enumeration date for this NPI number is 1/20/2021 and was last updated on 5/9/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YP2500XCounselorProfessionalYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.