1104401439 UMPQUA FAMILY THERAPY LLC

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

Active

Basic Information

Organization Name
UMPQUA FAMILY THERAPY LLC
Enumeration Date
March 17, 2021
Last Update
August 23, 2021
Authorized Official
MRS. MEREDITH ANN CONCEPCION LCSW
OWNER/PROVIDER
Phone: (458) 802-3883

Practice Location

Address
1299 NW ELLAN ST STE 2
ROSEBURG, OR 974702031
Phone
(458) 802-3883
Fax
(541) 900-1840

Mailing Address

Address
1299 NW ELLAN ST STE 2
ROSEBURG, OR 974702031
Phone
(458) 802-3883
Fax
(541) 900-1840

Specialties & Taxonomies

Specialty Code Classification License State Primary
Case Management Agency
251B00000X Case Management N/A N/A No
Adolescent and Children Mental Health Clinic/Center
Adolescent and Children Mental Health
261QM0855X Clinic/Center N/A N/A No
Mental Health Clinic/Center (Including Community Mental Health Center)
Mental Health (Including Community Mental Health Center)
261QM0801X Clinic/Center N/A N/A Primary

Other Identifiers

Identifier Type State Issuer
14105272 05 OR N/A
L7566 01 OR LCSW LICENSE
1104401439 01 OR NPPES BUSINESS NPI
1265833388 01 OR NPI

Frequently Asked Questions

What is UMPQUA FAMILY THERAPY LLC's NPI number?
UMPQUA FAMILY THERAPY LLC's NPI number is 1104401439.
Which doctor has NPI number 1104401439?
The doctor with NPI number 1104401439 is UMPQUA FAMILY THERAPY LLC.
What is UMPQUA FAMILY THERAPY LLC's practice address?
UMPQUA FAMILY THERAPY LLC's practice address is 1299 NW ELLAN ST STE 2, ROSEBURG, OR, 974702031.
Which doctor practices at 1299 NW ELLAN ST STE 2, ROSEBURG, OR, 974702031?
UMPQUA FAMILY THERAPY LLC practices at 1299 NW ELLAN ST STE 2, ROSEBURG, OR, 974702031.
What is UMPQUA FAMILY THERAPY LLC's phone number?
UMPQUA FAMILY THERAPY LLC's phone number is (458) 802-3883.
Who is (458) 802-3883?
(458) 802-3883 is the phone number for UMPQUA FAMILY THERAPY LLC.
What is UMPQUA FAMILY THERAPY LLC's specialty?
UMPQUA FAMILY THERAPY LLC's specialty is Mental Health Clinic/Center (Including Community Mental Health Center).
What type of doctor is UMPQUA FAMILY THERAPY LLC?
UMPQUA FAMILY THERAPY LLC is a Mental Health Clinic/Center (Including Community Mental Health Center).
Is UMPQUA FAMILY THERAPY LLC a Mental Health (Including Community Mental Health Center)?
Yes, UMPQUA FAMILY THERAPY LLC is a Mental Health (Including Community Mental Health Center).
Is UMPQUA FAMILY THERAPY LLC still practicing?
Yes, UMPQUA FAMILY THERAPY LLC is currently practicing.
Is UMPQUA FAMILY THERAPY LLC accepting new patients?
UMPQUA FAMILY THERAPY LLC may be accepting new patients. Please call their office at (458) 802-3883 to inquire about availability.
Is NPI 1104401439 still active?
Yes, NPI 1104401439 is currently active.
Where does UMPQUA FAMILY THERAPY LLC practice?
UMPQUA FAMILY THERAPY LLC practices in ROSEBURG, OR.