Organization · Type 2 NPI

Umpqua Family Therapy LLC

Mental Health Clinic/Center (Including Community Mental Health Center) · Roseburg, OR

NPI number 1104401439 Active

Practice location

1299 NW Ellan St Ste 2
Roseburg, OR 97470-2031

Fax (541) 900-1840

Specialties and licenses

Taxonomy	Code	License
Case Management Agency	251B00000X	None listed
Mental Health Clinic/Center (Including Community Mental Health Center) Primary	261QM0801X	None listed
Adolescent and Children Mental Health Clinic/Center	261QM0855X	None listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

2 other providers at this address

Other mental health clinic/center (including community mental health center) providers in Roseburg

See all in Roseburg →

NPI record

NPI: 1104401439
Entity type: Organization (Type 2)
Issued: Mar 17, 2021
Last updated: Aug 23, 2021
Status: Active

Other names

<unavail>
Meredith Concepcion · doing business as
Meredith Concepcion, LCSW · doing business as
Meredith A Yost-Concepcion · other name

Authorized official

Mrs. Meredith Ann Concepcion, LCSW
Owner/provider
(458) 802-3883

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1104401439

Umpqua Family Therapy LLC's National Provider Identifier is 1104401439, issued on Mar 17, 2021. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Roseburg, OR. The record was last updated on Aug 23, 2021.