| Edgewood Mental Health And Wellness Llc | |
|
346 Edgewood Dr Silverton OR 97381-2212 | |
| (541) 740-4774 | |
| Not Available |
| Full Name | Edgewood Mental Health And Wellness Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 346 Edgewood Dr, Silverton, Oregon |
| Authorized Official Name and Position | Emma Lime (OWNER) |
| Authorized Official Contact | 5417404774 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Edgewood Mental Health And Wellness Llc 346 Edgewood Dr Silverton OR 97381-2212 Ph: (541) 740-4774 | Edgewood Mental Health And Wellness Llc 346 Edgewood Dr Silverton OR 97381-2212 Ph: (541) 740-4774 |
| NPI Number | 1922859198 |
|---|---|
| Provider Enumeration Date | 03/27/2024 |
| Last Update Date | 03/28/2024 |
| Certification Date | 03/28/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922859198 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 171W00000X | Contractor | (* (Not Available)) | Secondary |
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