| Seaside Wellness Center Llc | |
|
2609 Highway 101 N Ste 203 Seaside OR 97138-4344 | |
| (503) 717-5284 | |
| (844) 364-9424 |
| Full Name | Seaside Wellness Center Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2609 Highway 101 N Ste 203, Seaside, Oregon |
| Authorized Official Name and Position | Julia A Weinberg (OWNER/LPC) |
| Authorized Official Contact | 5037175284 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Seaside Wellness Center Llc 2609 Highway 101 N Ste 203 Seaside OR 97138-4344 Ph: (503) 717-5284 | Seaside Wellness Center Llc 2609 Highway 101 N Ste 203 Seaside OR 97138-4344 Ph: (503) 717-5284 |
| NPI Number | 1871099234 |
|---|---|
| Provider Enumeration Date | 04/04/2018 |
| Last Update Date | 04/04/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871099234 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Mel Langston Professional Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2245 N Wahanna Rd, Seaside, OR 97138 Phone: 503-791-3181 |