| Alexander Counseling Center, Llc | |
|
236 Loto St Eagle Point OR 97524-0890 | |
| (541) 826-8282 | |
| (866) 826-8483 |
| Full Name | Alexander Counseling Center, Llc |
|---|---|
| Speciality | Counselor |
| Location | 236 Loto St, Eagle Point, Oregon |
| Authorized Official Name and Position | Ruthanne Marie Alexander (MENTAL HEALTH COUNSELOR) |
| Authorized Official Contact | 5418268282 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alexander Counseling Center, Llc Po Box 742 Eagle Point OR 97524-0742 Ph: (541) 826-8282 | Alexander Counseling Center, Llc 236 Loto St Eagle Point OR 97524-0890 Ph: (541) 826-8282 |
| NPI Number | 1497170658 |
|---|---|
| Provider Enumeration Date | 02/25/2014 |
| Last Update Date | 12/11/2023 |
| Certification Date | 12/11/2023 |
| Medicare PECOS PAC ID | 2466714860 |
|---|---|
| Medicare Enrollment ID | O20180323000504 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497170658 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | R2261 (Oregon) | Primary |
| Provider Name | Melinda J Lanning |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811146962 PECOS PAC ID: 5092074880 Enrollment ID: I20180124003040 |
| Provider Name | Giovanna Rose Messina Peitz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093365413 PECOS PAC ID: 5395196166 Enrollment ID: I20240105000737 |
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