Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mangata Wellness, Inc

Organization Professional Counselor · NPI 1790419158

Mangata Wellness, Inc is a Professional Counselor in Salem, Oregon. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
4
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

388 State St Ste 704
Salem, OR 97301-4023
Phone: (503) 917-9623
Fax: (503) 919-6050
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X
Professional Counselor Taxonomy 101YP2500X
Group Psychotherapy Psychologist Taxonomy 103TP2701X
Clinical Social Worker Taxonomy 1041C0700X

Record details

NPI number1790419158
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lola White — Owner · (503) 917-9623
NPI enumeratedJuly 12, 2022
Last updated in NPPESJuly 12, 2022
Certification dateJuly 12, 2022
Mailing address388 State St Ste 704, Salem, OR 97301-4023

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