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VILLEDA'S TRANQUILITY HEALTH SOLUTIONS LLC. NPI 1003533308


NPI Information

NPI: 1003533308
Provider Name: VILLEDA'S TRANQUILITY HEALTH SOLUTIONS, LLC.
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
8800 SE SUNNYSIDE RD STE 257S
CLACKAMAS, OR
ZIP 97015
Phone: (503) 747-9502
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VILLEDA'S TRANQUILITY HEALTH SOLUTIONS, LLC. is a mental health counselor in Clackamas, OR. VILLEDA'S TRANQUILITY HEALTH SOLUTIONS, LLC. NPI is 1003533308. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

8800 SE SUNNYSIDE RD STE 257S
CLACKAMAS, OR
ZIP 97015-738
Phone: (503) 747-9502
Fax: (877) 744-1853

The provider's authorized official is Ileana Villeda .
The authorized official title is Owner/operator and has the following contact phone number (503) 747-9502.

The enumeration date for this NPI number is 10/26/2022 and was last updated on 10/26/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1500757086MEDICAIDOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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