| Sage Wellness Llc | |
|
516 Sw 13th St Ste 201 Bend OR 97702-3442 | |
| (541) 292-9977 | |
| Not Available |
| Full Name | Sage Wellness Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 516 Sw 13th St Ste 201, Bend, Oregon |
| Authorized Official Name and Position | Crystal Leavitt (OWNER) |
| Authorized Official Contact | 5412929977 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sage Wellness Llc 516 Sw 13th St Ste 201 Bend OR 97702-3442 Ph: (541) 292-9977 | Sage Wellness Llc 516 Sw 13th St Ste 201 Bend OR 97702-3442 Ph: (541) 292-9977 |
| NPI Number | 1992421796 |
|---|---|
| Provider Enumeration Date | 10/13/2022 |
| Last Update Date | 11/08/2023 |
| Certification Date | 11/08/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992421796 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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