| Quiet Space Therapy Llc | |
|
2355 State St Ste 101 Salem OR 97301-4541 | |
| (360) 521-2478 | |
| Not Available |
| Full Name | Quiet Space Therapy Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2355 State St Ste 101, Salem, Oregon |
| Authorized Official Name and Position | Erol Berkeley-hanson (LLC OWNER) |
| Authorized Official Contact | 5037412958 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Quiet Space Therapy Llc 2355 State St Ste 101 Salem OR 97301-4541 Ph: () - | Quiet Space Therapy Llc 2355 State St Ste 101 Salem OR 97301-4541 Ph: (360) 521-2478 |
| NPI Number | 1477314144 |
|---|---|
| Provider Enumeration Date | 01/19/2024 |
| Last Update Date | 01/19/2024 |
| Certification Date | 01/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477314144 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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