OrganizationActive
Autumn Leaf Therapeutic Services
NPI 1689209371 · Community/Behavioral Health Agency · Salem, OR
Provider details
- NPI number
- 1689209371
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Carilyn Ellis, Psychologist/Owner(503) 856-6430
Specialties & taxonomies
Agencies
- Psychologist103T00000X
Behavioral Health & Social Service Providers
Practice location
3857 Wolverine St Ne Ste 6
Salem, OR 97305-4274
Phone: (503) 856-6430
Fax: (503) 877-1920
Approximate (ZIP-level) locationGet directions
Mailing address
3857 Wolverine St Ne Ste 6
Salem, OR 97305-4274
Registry dates
- Enumerated
- 2020-03-03
- Last updated
- 2020-03-05
- Certified
- 2020-03-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.