| Hearthstone Therapy Services Llc. | |
|
404 Nw Birch Ln Madras OR 97741-9082 | |
| (541) 675-8002 | |
| (541) 460-5593 |
| Full Name | Hearthstone Therapy Services Llc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 404 Nw Birch Ln, Madras, Oregon |
| Authorized Official Name and Position | Laurie Fay Dawkins (OWNER/THERAPIST) |
| Authorized Official Contact | 5416758002 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hearthstone Therapy Services Llc. 380 S 5th St # 313 Madras OR 97741-1352 Ph: (541) 675-8002 | Hearthstone Therapy Services Llc. 404 Nw Birch Ln Madras OR 97741-9082 Ph: (541) 675-8002 |
| NPI Number | 1538935721 |
|---|---|
| Provider Enumeration Date | 11/28/2023 |
| Last Update Date | 11/28/2023 |
| Certification Date | 11/28/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538935721 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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