| Tabula Rasa Wellness Llc | |
|
2105 Liberty St Ne Salem OR 97301-8353 | |
| (503) 967-3428 | |
| (503) 967-3683 |
| Full Name | Tabula Rasa Wellness Llc |
|---|---|
| Speciality | Social Worker |
| Location | 2105 Liberty St Ne, Salem, Oregon |
| Authorized Official Name and Position | Lindsay Crowner (OWNER/CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 5094307578 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tabula Rasa Wellness Llc 3434 Liberty Rd S Apt 65 Salem OR 97302-6628 Ph: (509) 430-7578 | Tabula Rasa Wellness Llc 2105 Liberty St Ne Salem OR 97301-8353 Ph: (503) 967-3428 |
| NPI Number | 1205300837 |
|---|---|
| Provider Enumeration Date | 01/16/2019 |
| Last Update Date | 01/31/2021 |
| Certification Date | 01/31/2021 |
| Medicare PECOS PAC ID | 0941676662 |
|---|---|
| Medicare Enrollment ID | O20221021000547 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205300837 | NPI | - | NPPES |
| Provider Name | Lindsay Nichole Crowner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295181246 PECOS PAC ID: 2567796824 Enrollment ID: I20190620002633 |
Capital Family And Child Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1845 Commercial St Se, Salem, OR 97302 Phone: 503-371-7000 Fax: 503-540-7724 | |
Julie Evans Bingham Phd, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 528 Cottage St Ne, Suite 1d, Salem, OR 97301 Phone: 503-584-9923 Fax: 503-584-0303 | |
Stages Counseling Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2659 Commercial St Se., Suite 200, Salem, OR 97302 Phone: 503-581-0657 Fax: 503-581-4025 | |
Shade Tree Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4210 Barrett St S, Salem, OR 97302 Phone: 503-949-1026 | |
Black Swan Healing Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2355 State St Ste 101, Salem, OR 97301 Phone: 971-268-7462 Fax: 971-202-9584 | |
Jean Thompson Vanlue Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 528 Cottage St Ne Ste 300, Salem, OR 97301 Phone: 503-316-9130 | |
Amazing Treatment Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 161 High St Se Ste 225, Salem, OR 97301 Phone: 503-930-6744 Fax: 503-363-0833 |