| Direction Service | |
|
576 Olive St Suite 307 Eugene OR 97401 | |
| (541) 344-7303 | |
| (541) 686-6283 |
| Full Name | Direction Service |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 576 Olive St Suite 307, Eugene, Oregon |
| Authorized Official Name and Position | Nicole Skinner (BUSINESS MANAGER) |
| Authorized Official Contact | 5412844608 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Direction Service 576 Olive St Suite 307 Direction Service Counseling Center Eugene OR 97401 Ph: (541) 344-7303 | Direction Service 576 Olive St Suite 307 Eugene OR 97401 Ph: (541) 344-7303 |
| NPI Number | 1336215540 |
|---|---|
| Provider Enumeration Date | 11/28/2006 |
| Last Update Date | 02/27/2024 |
| Certification Date | 02/27/2024 |
| Medicare PECOS PAC ID | 2769821073 |
|---|---|
| Medicare Enrollment ID | O20240419001109 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336215540 | NPI | - | NPPES |
| 037759 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Nikki Renee Ehrmantrout |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619043833 PECOS PAC ID: 9133568306 Enrollment ID: I20240420000069 |
| Provider Name | Melissa Kimberly Lind |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427270578 PECOS PAC ID: 5092154112 Enrollment ID: I20240422001612 |
| Provider Name | Kurtis James Mitchell |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1619043841 PECOS PAC ID: 4880034339 Enrollment ID: I20240430004375 |
| Provider Name | Jaclyn F Lichtenstein |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417012287 PECOS PAC ID: 9032551346 Enrollment ID: I20240531000551 |
| Provider Name | Ruth Hanna Wood |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093151128 PECOS PAC ID: 0042752354 Enrollment ID: I20240602000087 |
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