RADICAL NEST LLC NPI 1649874488

NPI Information

NPI: 1649874488
Provider Name: RADICAL NEST LLC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
880 LIBERTY ST NE STE 109
SALEM, OR
ZIP 97301
Phone: (971) 345-4119
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RADICAL NEST LLC is a mental health (including community mental health center) clinic center in Salem, OR. RADICAL NEST LLC NPI is 1649874488. The provider is registered as an organization entity type.

The provider's business location address is:

880 LIBERTY ST NE STE 109
SALEM, OR
ZIP 97301-450
Phone: (971) 345-4119
Fax: (971) 345-4149

The provider's authorized official is Michelle Harvey .
The authorized official title is Owner/therapist and has the following contact phone number (971) 345-4119.

The enumeration date for this NPI number is 11/23/2020 and was last updated on 3/14/2024.

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	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			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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