Provider Demographics
NPI:1538999180
Name:EMPATHERAPY BEHAVIORAL HEALTH SERVICES LLC
Entity type:Organization
Organization Name:EMPATHERAPY BEHAVIORAL HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:RUKUNDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:616-820-4332
Mailing Address - Street 1:1234 SW MORRISON ST
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97205-2218
Mailing Address - Country:US
Mailing Address - Phone:616-820-4332
Mailing Address - Fax:
Practice Address - Street 1:1234 SW MORRISON ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97205-2218
Practice Address - Country:US
Practice Address - Phone:616-820-4332
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-07
Last Update Date:2024-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health