| Lakeview Behavioral Health, Pllc | |
|
3000 Market St Ne Ste 510 Salem OR 97301-1807 | |
| (832) 545-7352 | |
| Not Available |
| Full Name | Lakeview Behavioral Health, Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 3000 Market St Ne Ste 510, Salem, Oregon |
| Authorized Official Name and Position | Simonpeter Emokpaire (MANAGER) |
| Authorized Official Contact | 8325457352 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeview Behavioral Health, Pllc 3000 Market St Ne Ste 510 Salem OR 97301-1807 Ph: (832) 545-7352 | Lakeview Behavioral Health, Pllc 3000 Market St Ne Ste 510 Salem OR 97301-1807 Ph: (832) 545-7352 |
| NPI Number | 1700602216 |
|---|---|
| Provider Enumeration Date | 11/29/2024 |
| Last Update Date | 11/29/2024 |
| Certification Date | 11/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700602216 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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