| Groundwork, Llc | |
|
497 Sw Century Dr Ste 102 Bend OR 97702-1167 | |
| (458) 292-9972 | |
| (541) 318-0058 |
| Full Name | Groundwork, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 497 Sw Century Dr Ste 102, Bend, Oregon |
| Authorized Official Name and Position | Kristin Simons Holmberg (OWNER) |
| Authorized Official Contact | 4582929972 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Groundwork, Llc 497 Sw Century Dr Ste 102 Bend OR 97702-1167 Ph: (458) 292-9972 | Groundwork, Llc 497 Sw Century Dr Ste 102 Bend OR 97702-1167 Ph: (458) 292-9972 |
| NPI Number | 1003451253 |
|---|---|
| Provider Enumeration Date | 11/12/2019 |
| Last Update Date | 06/20/2022 |
| Certification Date | 06/20/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003451253 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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