| Life Balance Bend Llc | |
|
15 Sw Colorado Ave Ste 350 Bend OR 97702-1130 | |
| (541) 306-1898 | |
| Not Available |
| Full Name | Life Balance Bend Llc |
|---|---|
| Speciality | Social Worker |
| Location | 15 Sw Colorado Ave Ste 350, Bend, Oregon |
| Authorized Official Name and Position | Travis Sammon (CO-OWNER) |
| Authorized Official Contact | 5413061898 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Balance Bend Llc 15 Sw Colorado Ave Ste 350 Bend OR 97702-1130 Ph: (541) 306-1898 | Life Balance Bend Llc 15 Sw Colorado Ave Ste 350 Bend OR 97702-1130 Ph: (541) 306-1898 |
| NPI Number | 1669998266 |
|---|---|
| Provider Enumeration Date | 08/16/2017 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 0244504298 |
|---|---|
| Medicare Enrollment ID | O20170914003161 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669998266 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 3873 (Oregon) | Secondary |
| 1041C0700X | Social Worker - Clinical | 4289 (Oregon) | Primary |
| Provider Name | Jillian Sammon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316218944 PECOS PAC ID: 2062659964 Enrollment ID: I20130514000270 |
| Provider Name | Travis A Sammon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033385042 PECOS PAC ID: 2163660663 Enrollment ID: I20130522000426 |
Thriving Families Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1011 Sw Emkay Dr Ste 102, Bend, OR 97702 Phone: 541-668-6891 | |
Groundwork, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 497 Sw Century Dr Ste 102, Bend, OR 97702 Phone: 458-292-9972 Fax: 541-318-0058 | |
Cedar Springs Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 65729 Old Bend Redmond Hwy, Bend, OR 97703 Phone: 541-588-2103 | |
Liz Hinchliffe Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1012 Nw Wall St Ste 225, Bend, OR 97701 Phone: 541-350-2578 | |
True Center Therapy, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2669 Ne Twin Knolls Dr Ste 103, Bend, OR 97701 Phone: 541-205-9235 | |
Mary L. Meador Md Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 115 Nw Greeley Ave, Bend, OR 97701 Phone: 541-771-7756 | |
Healing Hearts Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 354 Ne Greenwood Ave Ste 215, Bend, OR 97701 Phone: 541-668-7613 Fax: 855-870-7502 |