| Onyx Counseling Consulting & Supervision, Llc. | |
|
1767 12th St # 259 Hood River OR 97031-9531 | |
| (541) 638-0841 | |
| Not Available |
| Full Name | Onyx Counseling Consulting & Supervision, Llc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1767 12th St # 259, Hood River, Oregon |
| Authorized Official Name and Position | Mollie Reiko Knapp (CLINICIAN AND OWNER) |
| Authorized Official Contact | 5416380841 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Onyx Counseling Consulting & Supervision, Llc. 1767 12th St # 259 Hood River OR 97031-9531 Ph: () - | Onyx Counseling Consulting & Supervision, Llc. 1767 12th St # 259 Hood River OR 97031-9531 Ph: (541) 638-0841 |
| NPI Number | 1649861105 |
|---|---|
| Provider Enumeration Date | 01/28/2021 |
| Last Update Date | 02/25/2021 |
| Certification Date | 02/25/2021 |
| Medicare PECOS PAC ID | 4385050491 |
|---|---|
| Medicare Enrollment ID | O20210315001226 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649861105 | NPI | - | NPPES |
| 1083124697 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Mollie Reiko Knapp |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083124697 PECOS PAC ID: 4183963549 Enrollment ID: I20190228002452 |
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