Ty Residential Wellness LLC

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

TY RESIDENTIAL WELLNESS LLC

Practice address

1211 SE 212TH Ave
Gresham, OR 97030-3452

Phone

(503) 841-0801

NPI assigned

Jul 27, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Tewabech Taddese Teka

Title

Owner / Program Administrator

Phone

(503) 841-0801

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1785110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785110400000",
    "number": "1952223729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15577 SE BOLLAM DR",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970156653",
            "telephone_number": "503-841-0801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 SE 212TH AVE",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970303452",
            "telephone_number": "503-841-0801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TY RESIDENTIAL WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-27",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-26",
        "status": "A",
        "authorized_official_last_name": "TEKA",
        "authorized_official_first_name": "TEWABECH",
        "authorized_official_middle_name": "TADDESE",
        "authorized_official_title_or_position": "OWNER / PROGRAM ADMINISTRATOR",
        "authorized_official_telephone_number": "503-841-0801",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janet Turner, RN
• Jill RH Turner, ND
• Molly Joell Turner, DNP, PMHNP-BC
• Nickole Turner, LMT
• Kimberlee K Tuttle, CADC II
• Jessica L Ulmer, LMT
• Alta Ulrich, LMT
• Underdog Alchemy
• Union Residential Treatment Homes LLC
• Natasha Milenkaya Unruh, ELECTROLOGIST

• Mental Illness Community Based Residential Treatment Facility in Gresham, OR
• Providers in Gresham, OR by specialty
• Mental Illness Community Based Residential Treatment Facility in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.