Provider Demographics
NPI:1619772290
Name:SAGE THERAPY SERVICES, LLC
Entity type:Organization
Organization Name:SAGE THERAPY SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MARRIAGE AND FAMILY THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:TANUJINI
Authorized Official - Middle Name:ROSALIND
Authorized Official - Last Name:CARLSON
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:971-235-0914
Mailing Address - Street 1:9390 SW IBACH CT
Mailing Address - Street 2:
Mailing Address - City:TUALATIN
Mailing Address - State:OR
Mailing Address - Zip Code:97062-7073
Mailing Address - Country:US
Mailing Address - Phone:971-200-5756
Mailing Address - Fax:971-203-2048
Practice Address - Street 1:9390 SW IBACH CT
Practice Address - Street 2:
Practice Address - City:TUALATIN
Practice Address - State:OR
Practice Address - Zip Code:97062-7073
Practice Address - Country:US
Practice Address - Phone:971-200-5756
Practice Address - Fax:971-203-2048
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-17
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty