My Life Alive LLC
My Life Alive LLC is a Community/Behavioral Health Agency in Salem, Oregon. Licensed in Oregon. Registered with an NPI since 2016.
- Licensed in
- OR
- In the registry since
- 2016
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
388 State St Ste 705Salem, OR 97301-3866
Phone: (503) 807-3444
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X · Licence C4060 (OR) |
|---|
Record details
| NPI number | 1699129445 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Carmen Heidecke — Counselor · (503) 807-3444 |
| NPI enumerated | April 18, 2016 |
| Last updated in NPPES | April 18, 2016 |
| Mailing address | Po Box 4461, Salem, OR 97302-8461 |
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