| Heather Hills Therapy Center Llc | |
|
92651 Heather Ln Coos Bay OR 97420-7246 | |
| (541) 266-7669 | |
| Not Available |
| Full Name | Heather Hills Therapy Center Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 92651 Heather Ln, Coos Bay, Oregon |
| Authorized Official Name and Position | Elizabeth J Sunzeri (PRESIDENT) |
| Authorized Official Contact | 5412667669 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heather Hills Therapy Center Llc 92651 Heather Ln Coos Bay OR 97420-7246 Ph: (541) 266-7669 | Heather Hills Therapy Center Llc 92651 Heather Ln Coos Bay OR 97420-7246 Ph: (541) 266-7669 |
| NPI Number | 1376775973 |
|---|---|
| Provider Enumeration Date | 08/14/2009 |
| Last Update Date | 08/14/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376775973 | NPI | - | NPPES |
| T0589 | Other | OR | OREGON LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | T0589 (Oregon) | Primary |
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