| Mountain River Therapy, Llc | |
|
223 Se Davis Ave Bend OR 97702-3526 | |
| (480) 307-2713 | |
| Not Available |
| Full Name | Mountain River Therapy, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 223 Se Davis Ave, Bend, Oregon |
| Authorized Official Name and Position | Lesley Srikantaiah (OWNER) |
| Authorized Official Contact | 5415160124 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountain River Therapy, Llc 70 Sw Century Dr. Ste 100 Pmb 5099 Bend OR 97702-3558 Ph: (541) 516-0124 | Mountain River Therapy, Llc 223 Se Davis Ave Bend OR 97702-3526 Ph: (480) 307-2713 |
| NPI Number | 1598303315 |
|---|---|
| Provider Enumeration Date | 12/11/2019 |
| Last Update Date | 08/05/2023 |
| Certification Date | 08/05/2023 |
| Medicare PECOS PAC ID | 6103254040 |
|---|---|
| Medicare Enrollment ID | O20200307000049 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598303315 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Lesley Srikantaiah |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215439435 PECOS PAC ID: 7618226010 Enrollment ID: I20180817002213 |
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 |