| Homespun Counseling, Llc | |
|
33055 Se Peoria Rd Corvallis OR 97333-2529 | |
| (541) 232-1930 | |
| Not Available |
| Full Name | Homespun Counseling, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 33055 Se Peoria Rd, Corvallis, Oregon |
| Authorized Official Name and Position | Leia Hughey (OWNER) |
| Authorized Official Contact | 5412321930 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Homespun Counseling, Llc 33055 Se Peoria Rd Corvallis OR 97333-2529 Ph: (541) 232-1930 | Homespun Counseling, Llc 33055 Se Peoria Rd Corvallis OR 97333-2529 Ph: (541) 232-1930 |
| NPI Number | 1407340318 |
|---|---|
| Provider Enumeration Date | 06/15/2018 |
| Last Update Date | 06/15/2018 |
| Medicare PECOS PAC ID | 5496000143 |
|---|---|
| Medicare Enrollment ID | O20180620001891 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407340318 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 989 (Oregon) | Primary |
| Provider Name | Leia D Hughey |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1497937734 PECOS PAC ID: 5991782096 Enrollment ID: I20040707000374 |
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