Organization
LAKE HEALTH DISTRICT
Active
Parent organization
LAKE HEALTH DISTRICT
Other names
Lake District Wellness Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
LAKE HEALTH DISTRICT
Authorized official
CHARLES BODELL TVEIT (CEO)
(541) 947-7307
Entity
Organization
Contact information
Practice address
35 S G ST, LAKEVIEW, OR 97630-1817
(541) 947-6021
(541) 219-8114
Mailing address
700 S J ST, LAKEVIEW, OR 97630-1623
(541) 947-7284
(541) 947-2433
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP1600X
Pastoral Counselor
—
—
101YP2500X
Professional Counselor
—
—
103TA0700X
Adult Development & Aging Psychologist
—
—
103TC1900X
Counseling Psychologist
Primary
—
—
103TF0000X
Family Psychologist
—
—
103TR0400X
Rehabilitation Psychologist
—
—
106H00000X
Marriage & Family Therapist
—
—
2084B0002X
Obesity Medicine (Psychiatry & Neurology) Physician
—
—
2084H0002X
Hospice and Palliative Medicine (Psychiatry & Neurology) Physician
—
—
2084P0800X
Psychiatry Physician
—
—
2084P0802X
Addiction Psychiatry Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
Other
Enumeration date
09/21/2022
Last updated
09/21/2022
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