PRIMAL PATH THERAPY LLC NPI 1811716202

NPI Information

  • NPI: 1811716202
  • Provider Name: PRIMAL PATH THERAPY LLC
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Address: 2355 STATE ST STE 101
    SALEM, OR
    ZIP 97301
  • Phone: (541) 625-4361

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NPI Details

PRIMAL PATH THERAPY LLC is a mental health (including community mental health center) clinic center in Salem, OR. PRIMAL PATH THERAPY LLC NPI is 1811716202. The provider is registered as an organization entity type.

The provider's business location address is:

2355 STATE ST STE 101
SALEM, OR
ZIP 97301-541
Phone: (541) 625-4361

The provider's authorized official is Melanie Sellers .
The authorized official title is Mcf Therapist Associate and has the following contact phone number (541) 625-4361.

The enumeration date for this NPI number is 10/3/2024 and was last updated on 10/3/2024.

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
1261QM0801XClinic/CenterMental 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: 11/21/2025

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