Organization
LIFE'S INTENTION LLC
Active
Other names
Life's Intention INC
Organization subpart
No
Provider details
NPI number
Authorized official
AMY MADRIGAL-BATES LPCA, CADC II, QMHP (OWNER)
(541) 969-1941
Entity
Organization
Contact information
Practice address
920 SW FRAZER AVE STE 212, PENDLETON, OR 97801-2802
(541) 969-1941
(541) 429-4941
Mailing address
920 SW FRAZER AVE STE 212, PENDLETON, OR 97801-2802
(541) 969-1941
(541) 429-4941
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
261Q00000X
Clinic/Center
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
261QR0800X
Recovery Care Clinic/Center
—
—
Other
Enumeration date
03/14/2023
Last updated
03/14/2023
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