| Inner Wellness Therapy Llc | |
|
100 39th St Ste 203 Astoria OR 97103-2455 | |
| (503) 468-8646 | |
| (503) 325-2813 |
| Full Name | Inner Wellness Therapy Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 100 39th St Ste 203, Astoria, Oregon |
| Authorized Official Name and Position | Lauren Elizabeth Mengedoht (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 5034688646 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Inner Wellness Therapy Llc 100 39th St Ste 203 Astoria OR 97103-2455 Ph: (503) 468-8646 | Inner Wellness Therapy Llc 100 39th St Ste 203 Astoria OR 97103-2455 Ph: (503) 468-8646 |
| NPI Number | 1568851459 |
|---|---|
| Provider Enumeration Date | 01/14/2015 |
| Last Update Date | 01/14/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568851459 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | L6223 (Oregon) | Primary |
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