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Tabula Rasa Wellness Llc
Adult Mental Health Clinic/Center in Salem, Oregon
NPI 1205300837

Tabula Rasa Wellness Llc is an Adult Mental Health Clinic/Center based in Salem, OR and is specialized in Adult Mental Health. Tabula Rasa Wellness Llc practices in Salem, OR. The NPI Number for Tabula Rasa Wellness Llc is 1205300837 and holds a License No. (Oregon).

The current practice location address for Tabula Rasa Wellness Llc is 2105 Liberty St Ne, Salem, OR and can be reached out via phone at 503-967-3428 and via fax at 503-967-3683. You can also correspond with Tabula Rasa Wellness Llc through the mailing address at 3434 LIBERTY RD S APT 65, SALEM, OR - 97302-6628 (mailing address contact number: 509-430-7578).

Location: 2105 Liberty St Ne, Salem, OR, 97302-6628
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1205300837
Provider Name
Tabula Rasa Wellness Llc
Credential
Provider Entity Type
Organization
Address
2105 Liberty St Ne, Salem, OR, 97302-6628
Phone Number
503-967-3428
Fax Number
503-967-3683
Provider Enumeration Date
01/16/2019
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
2105 Liberty St Ne
City
Salem
State
Oregon
Zip
97301-8353
Phone Number
503-967-3428
Fax Number
503-967-3683
person
Provider Business Mailing Address Details
Address
2105 Liberty St Ne
City
Salem
State
Oregon
Zip
97301-8353
Phone Number
503-967-3428
Fax Number
503-967-3683
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
()
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
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