Organization
SAGE WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL LEAVITT LPC (OWNER)
(541) 292-9977
Entity
Organization
Contact information
Practice address
516 SW 13TH ST STE 201, BEND, OR 97702-3442
(541) 292-9977
Mailing address
516 SW 13TH ST STE 201, BEND, OR 97702-3442
(541) 292-9977
(888) 461-3135
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
10/13/2022
Last updated
11/08/2023
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