| Ocean Mist Counseling & Wellness | |
|
530 Nw 3rd St Ste B Newport OR 97365-3646 | |
| (541) 912-3702 | |
| Not Available |
| Full Name | Ocean Mist Counseling & Wellness |
|---|---|
| Speciality | Counselor |
| Location | 530 Nw 3rd St Ste B, Newport, Oregon |
| Authorized Official Name and Position | Clifton Marcus Davis (OWNER/MANAGER) |
| Authorized Official Contact | 5419123702 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ocean Mist Counseling & Wellness Po Box 2254 Newport OR 97365-0166 Ph: (541) 912-3702 | Ocean Mist Counseling & Wellness 530 Nw 3rd St Ste B Newport OR 97365-3646 Ph: (541) 912-3702 |
| NPI Number | 1518433465 |
|---|---|
| Provider Enumeration Date | 10/18/2018 |
| Last Update Date | 10/18/2018 |
| Medicare PECOS PAC ID | 3971952904 |
|---|---|
| Medicare Enrollment ID | O20231215000403 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518433465 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Robin D Fox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447220801 PECOS PAC ID: 0547434128 Enrollment ID: I20180119000795 |
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