| Lifespan Counseling And Consulting Llc | |
|
444 N 4th St Coos Bay OR 97420-2222 | |
| (541) 337-1856 | |
| Not Available |
| Full Name | Lifespan Counseling And Consulting Llc |
|---|---|
| Speciality | Counselor |
| Location | 444 N 4th St, Coos Bay, Oregon |
| Authorized Official Name and Position | Brigett Hollander (OWNER) |
| Authorized Official Contact | 5413371856 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifespan Counseling And Consulting Llc 2354 Union Ave North Bend OR 97459-3355 Ph: (541) 337-1856 | Lifespan Counseling And Consulting Llc 444 N 4th St Coos Bay OR 97420-2222 Ph: (541) 337-1856 |
| NPI Number | 1699457788 |
|---|---|
| Provider Enumeration Date | 08/07/2023 |
| Last Update Date | 12/13/2023 |
| Certification Date | 12/13/2023 |
| Medicare PECOS PAC ID | 4981058716 |
|---|---|
| Medicare Enrollment ID | O20230928000634 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699457788 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Brigett W Hollander |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578735270 PECOS PAC ID: 9931224912 Enrollment ID: I20201020003612 |
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