Provider Demographics
NPI:1659058832
Name:ACCEPTANCE MENTAL HEALTH, LLC
Entity Type:Organization
Organization Name:ACCEPTANCE MENTAL HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:CORK
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:503-897-8036
Mailing Address - Street 1:PO BOX 5143
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97304-0143
Mailing Address - Country:US
Mailing Address - Phone:503-897-8036
Mailing Address - Fax:
Practice Address - Street 1:503 EAGLE VIEW DR NW
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97304-4253
Practice Address - Country:US
Practice Address - Phone:038-978-0365
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-29
Last Update Date:2023-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health