FAMILY BEHAVIORAL HEALTH NETWORK LLC NPI 1538708953

NPI Information

NPI: 1538708953
Provider Name: FAMILY BEHAVIORAL HEALTH NETWORK, LLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
221 W MAIN ST
MEDFORD, OR
ZIP 97501
Phone: (541) 821-9559
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FAMILY BEHAVIORAL HEALTH NETWORK, LLC is a mental health counselor in Medford, OR. FAMILY BEHAVIORAL HEALTH NETWORK, LLC NPI is 1538708953. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

221 W MAIN ST
MEDFORD, OR
ZIP 97501-728
Phone: (541) 821-9559
Fax: (541) 702-1236

The provider's authorized official is Jennifer May Henderson .
The authorized official title is President and has the following contact phone number (541) 821-9559.

The enumeration date for this NPI number is 1/2/2020 and was last updated on 1/2/2020.

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	101YM0800X	Counselor	Mental Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	500653416	MEDICAID	OREGON

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: 11/14/2023

NPI Synchronization or Removal

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