Moving Mountains Psychology Llc | |
301 E Main St Silverton OR 97381-1714 | |
(757) 373-1139 | |
Not Available |
Full Name | Moving Mountains Psychology Llc |
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Speciality | Counselor |
Location | 301 E Main St, Silverton, Oregon |
Authorized Official Name and Position | Allison Bratton (OWNER) |
Authorized Official Contact | 7573731139 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Moving Mountains Psychology Llc 906 Mallard St Ne Silverton OR 97381-2521 Ph: (757) 373-1139 | Moving Mountains Psychology Llc 301 E Main St Silverton OR 97381-1714 Ph: (757) 373-1139 |
NPI Number | 1730952680 |
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Provider Enumeration Date | 11/02/2023 |
Last Update Date | 11/02/2023 |
Certification Date | 11/02/2023 |
Medicare PECOS PAC ID | 3072965508 |
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Medicare Enrollment ID | O20240119001529 |
Identifier | Type | State | Issuer |
---|---|---|---|
1730952680 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Provider Name | Allison Bratton |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1356801914 PECOS PAC ID: 4981056413 Enrollment ID: I20240119001584 |
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