| Perry Counseling Services, Llc | |
|
107 E Main St Ste 8 Medford OR 97501-6022 | |
| (405) 699-1104 | |
| (541) 499-0271 |
| Full Name | Perry Counseling Services, Llc |
|---|---|
| Speciality | Counselor |
| Location | 107 E Main St Ste 8, Medford, Oregon |
| Authorized Official Name and Position | Almyra J. Perry (OWNER & COUNSELOR) |
| Authorized Official Contact | 4056991104 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Perry Counseling Services, Llc 860 Ivern Dr Central Point OR 97502-3621 Ph: (405) 699-1104 | Perry Counseling Services, Llc 107 E Main St Ste 8 Medford OR 97501-6022 Ph: (405) 699-1104 |
| NPI Number | 1437731601 |
|---|---|
| Provider Enumeration Date | 04/26/2021 |
| Last Update Date | 09/20/2022 |
| Certification Date | 09/20/2022 |
| Medicare PECOS PAC ID | 0941649057 |
|---|---|
| Medicare Enrollment ID | O20240422001361 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437731601 | NPI | - | NPPES |
| 500717535 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Almyra Perry |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043760986 PECOS PAC ID: 1850730961 Enrollment ID: I20240422001378 |
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