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General NPI Number Information
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NPI Number | 1093643082
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Entity Type | Organization
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Legal Business Name | SANASANA MENTAL HEALTH LLC
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Dates
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Enumeration Date | 05/11/2026
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Last Update Date | 05/11/2026
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Provider Practice Location Address
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Address Line | 306 S 1ST ST
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City | COTTAGE GROVE
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State | OR
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Zip | 97424-2138
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Country | US
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Telephone | 541-731-3636
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 897
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City | CRESWELL
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State | OR
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Zip | 97426-0897
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Country | US
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Telephone | 541-239-3668
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CLAUDIA HECKATHORN
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Credential | LCSW, CCM
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Telephone | 541-731-3636
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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