Provider Demographics
NPI:1649153610
Name:SAFARI MENTAL HEALTH AND WELLNESS LLC
Entity type:Organization
Organization Name:SAFARI MENTAL HEALTH AND WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PMHNP
Authorized Official - Prefix:
Authorized Official - First Name:FAITH
Authorized Official - Middle Name:N
Authorized Official - Last Name:KIRIRAH
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP
Authorized Official - Phone:812-881-5089
Mailing Address - Street 1:6418 NE WOODVIEW DR
Mailing Address - Street 2:
Mailing Address - City:HILLSBORO
Mailing Address - State:OR
Mailing Address - Zip Code:97124-5140
Mailing Address - Country:US
Mailing Address - Phone:812-881-5089
Mailing Address - Fax:
Practice Address - Street 1:9310 SE DUKE ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97266-5259
Practice Address - Country:US
Practice Address - Phone:812-881-5089
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-28
Last Update Date:2025-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)