| Pure Life Counseling, Llc | |
|
494 State St Ste 270 Salem OR 97301-3647 | |
| (503) 583-2121 | |
| Not Available |
| Full Name | Pure Life Counseling, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 494 State St Ste 270, Salem, Oregon |
| Authorized Official Name and Position | Benjamin Fennimore (MENTAL HEALTH CLINICIAN) |
| Authorized Official Contact | 5034282948 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pure Life Counseling, Llc 2860 Winter St Se Salem OR 97302-3155 Ph: (503) 428-2948 | Pure Life Counseling, Llc 494 State St Ste 270 Salem OR 97301-3647 Ph: (503) 583-2121 |
| NPI Number | 1982489951 |
|---|---|
| Provider Enumeration Date | 08/29/2023 |
| Last Update Date | 08/29/2023 |
| Certification Date | 07/05/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982489951 | NPI | - | NPPES |
| 1417567983 | Medicaid | OR | |
| 1881094324 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Capital Family And Child Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1845 Commercial St Se, Salem, OR 97302 Phone: 503-371-7000 Fax: 503-540-7724 | |
Julie Evans Bingham Phd, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 528 Cottage St Ne, Suite 1d, Salem, OR 97301 Phone: 503-584-9923 Fax: 503-584-0303 | |
Stages Counseling Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2659 Commercial St Se., Suite 200, Salem, OR 97302 Phone: 503-581-0657 Fax: 503-581-4025 | |
Shade Tree Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4210 Barrett St S, Salem, OR 97302 Phone: 503-949-1026 | |
Black Swan Healing Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2355 State St Ste 101, Salem, OR 97301 Phone: 971-268-7462 Fax: 971-202-9584 | |
Jean Thompson Vanlue Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 528 Cottage St Ne Ste 300, Salem, OR 97301 Phone: 503-316-9130 | |
Amazing Treatment Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 161 High St Se Ste 225, Salem, OR 97301 Phone: 503-930-6744 Fax: 503-363-0833 |