- Practice location
- 19855 4TH St Ste 106, Bend, OR 97703-7814
- Phone
- 541-357-7686
- Fax
- —
- Last updated
- May 9, 2023
Bend Mental Wellness LLC is a healthcare organization based in Bend, OR. Bend Mental Wellness LLC practices in Bend, OR. The NPI Number for Bend Mental Wellness LLC is 1407446743. The current practice location address for Bend Mental Wellness LLC is 19855 4TH St Ste 106, Bend, OR 97703-7814 and can be reached out via phone at 541-357-7686.
Provider Profile Details
- NPI Number
- 1407446743
- Provider Name
- Bend Mental Wellness LLC
- Provider Entity Type
- Organization
- Address
- 19855 4TH St Ste 106, Bend, OR 97703-7814
- Phone Number
- 541-357-7686
- Primary Taxonomy
- Counselor, Professional · 101YP2500X
- Organization Subpart
- No
- Authorized Official
- Edgar Julian Caballero, LPC · Owner · 541-357-7686
- Provider Enumeration Date
- January 20, 2021
- Last Update Date
- May 9, 2023
- Certification Date
- May 9, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 19855 4TH St Ste 106
Bend, OR 97703-7814 - City
- Bend
- State
- Oregon
- Zip
- 97703-7814
- Phone Number
- 541-357-7686
Provider Business Mailing Address Details
- Address
- 64682 Cook Ave # 1
Bend, OR 97703-9033 - City
- Bend
- State
- OR
- Zip
- 97703-9033
- Phone Number
- 541-357-7686
License Information
- Taxonomy
- Counselor, Professional · 101YP2500X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Bend Mental Wellness LLC?
The NPI number of Bend Mental Wellness LLC is 1407446743. It was assigned on January 20, 2021 and is currently active in the NPPES registry.
What is the specialty of Bend Mental Wellness LLC?
Bend Mental Wellness LLC is registered under the primary taxonomy Counselor, Professional (code 101YP2500X).
Where does Bend Mental Wellness LLC practice?
The practice location is 19855 4TH St Ste 106, Bend, OR 97703-7814. The office can be reached at 541-357-7686 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1407446743 directly on the NPPES registry website.