Provider Demographics
NPI:1952112187
Name:DEVELOPING CHANCES LLC
Entity type:Organization
Organization Name:DEVELOPING CHANCES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:BRANDY
Authorized Official - Middle Name:LEIGH
Authorized Official - Last Name:BELL
Authorized Official - Suffix:
Authorized Official - Credentials:QMHA
Authorized Official - Phone:971-408-1529
Mailing Address - Street 1:PO BOX 13455
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97309-1455
Mailing Address - Country:US
Mailing Address - Phone:971-408-1529
Mailing Address - Fax:
Practice Address - Street 1:1865 TRADE ST SE
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97301-8263
Practice Address - Country:US
Practice Address - Phone:971-720-1394
Practice Address - Fax:971-720-1577
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-16
Last Update Date:2025-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health