| Aloha Family Therapy Inc | |
|
1390 Oak St Ste 4 Eugene OR 97401-3567 | |
| (808) 722-6361 | |
| Not Available |
| Full Name | Aloha Family Therapy Inc |
|---|---|
| Speciality | Counselor |
| Location | 1390 Oak St Ste 4, Eugene, Oregon |
| Authorized Official Name and Position | Lorie Lee (OWNER) |
| Authorized Official Contact | 8087226361 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aloha Family Therapy Inc 1390 Oak St Ste 4 Eugene OR 97401-3567 Ph: (808) 722-6361 | Aloha Family Therapy Inc 1390 Oak St Ste 4 Eugene OR 97401-3567 Ph: (808) 722-6361 |
| NPI Number | 1902674849 |
|---|---|
| Provider Enumeration Date | 12/19/2023 |
| Last Update Date | 12/19/2023 |
| Certification Date | 12/19/2023 |
| Medicare PECOS PAC ID | 3577901503 |
|---|---|
| Medicare Enrollment ID | O20240409004450 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902674849 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Lorie Ann Lee |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1912157728 PECOS PAC ID: 4486092418 Enrollment ID: I20240409004522 |
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