| Alicia Viani Therapy | |
|
400 Sw Bluff Dr Ste 200 Bend OR 97702-1697 | |
| (541) 301-6146 | |
| Not Available |
| Full Name | Alicia Viani Therapy |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 400 Sw Bluff Dr Ste 200, Bend, Oregon |
| Authorized Official Name and Position | Alicia Viani (PRESIDENT) |
| Authorized Official Contact | 5413016146 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alicia Viani Therapy 400 Sw Bluff Dr Ste 200 Bend OR 97702-1697 Ph: (541) 301-6146 | Alicia Viani Therapy 400 Sw Bluff Dr Ste 200 Bend OR 97702-1697 Ph: (541) 301-6146 |
| NPI Number | 1760073639 |
|---|---|
| Provider Enumeration Date | 02/02/2021 |
| Last Update Date | 02/02/2021 |
| Certification Date | 02/02/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760073639 | NPI | - | NPPES |
| 1609016690 | Other | OR | NPI |
| 500638613 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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