ROSEBURG THERAPY LLC - NPI 1477211480 - Counselor in Roseburg, OR

Q: What is Roseburg Therapy LLC's NPI number?

The NPI number for Roseburg Therapy LLC is 1477211480. It was assigned to this organization in the NPPES registry on December 7, 2021.

Q: What is Roseburg Therapy LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

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About Roseburg Therapy Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROSEBURG THERAPY LLC (NPI 1477211480) is a healthcare organization registered as a mental health in Roseburg, Oregon and active in the NPI registry since December 2021. The organization lists Robert Josh Lydon, Owner/operator, as its authorized official.

NPPES Registry Identity

NPI1477211480

Entity TypeOrganization

Primary Taxonomy101YM0800X

Legal Business NameROSEBURG THERAPY LLC

Location Address272 NW MEDICAL LOOP STE ERoseburg, OR 97471-5545

Mailing Address272 Nw Medical Loop Ste ERoseburg, OR 97471-5545

Phone(740) 225-5342

Organization SubpartNo

Authorized OfficialRobert Josh LydonOwner/operator · (541) 900-4285

Enumeration DateDecember 7, 2021

NPPES CertifiedDecember 7, 2021

✔ NPI 1477211480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

272 NW MEDICAL LOOP STE E, Roseburg, OR 97471

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ZOE ELIZA ROSEN MA, LPC

Counselor (Mental Health)