# OREGON MENTAL HEALTH SVS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508940370
- **Authorized official:** MARY JOAN SELLA LCSW (CLINICAL SOCIAL WORKER/CLINIC OWNER)
- **Authorized official phone:** (608) 835-5050

## Contact information

- **Practice address:** 602 PLEASANT OAK DR, OREGON, WI 53575
- **Practice address phone:** (608) 835-5050
- **Practice address fax:** (608) 835-5050
- **Mailing address:** 602 PLEASANT OAK DR, OREGON, WI 53575
- **Mailing address phone:** (608) 835-5050
- **Mailing address fax:** (608) 835-5050

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0850X | Adult Mental Health Clinic/Center | — | — | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 10/25/2006
- **Last updated:** 09/11/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2513 CERTIFICATE | MENTAL HEALTH OUTPUT | WI |
| 05 | — | 42235500 | — | WI |