| Community Life Counseling Solutions, Llc | |
|
154 S Main St Independence OR 97351-2005 | |
| (541) 633-7032 | |
| Not Available |
| Full Name | Community Life Counseling Solutions, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 154 S Main St, Independence, Oregon |
| Authorized Official Name and Position | Michael Lee (PROGRAM DIRECTOR) |
| Authorized Official Contact | 5416337032 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Life Counseling Solutions, Llc 1050 Crater Lake Ave Ste A Medford OR 97504-6223 Ph: (541) 633-7032 | Community Life Counseling Solutions, Llc 154 S Main St Independence OR 97351-2005 Ph: (541) 633-7032 |
| NPI Number | 1982387593 |
|---|---|
| Provider Enumeration Date | 08/10/2023 |
| Last Update Date | 08/10/2023 |
| Certification Date | 08/08/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982387593 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Monica Gabaldon, Lcsw, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 368 S 6th St, Independence, OR 97351 Phone: 503-851-5223 | |
Hart Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6665 Rickreall Rd, Independence, OR 97351 Phone: 971-301-4278 | |
Poyama Day Treatment Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 460 Greenwood Rd S, Independence, OR 97351 Phone: 503-838-6431 Fax: 503-838-6440 |