| Seeds Of Change Counseling Services, Llc. | |
|
215 W 10th Ave Eugene OR 97401-3008 | |
| (541) 344-7088 | |
| (888) 990-2234 |
| Full Name | Seeds Of Change Counseling Services, Llc. |
|---|---|
| Speciality | Counselor |
| Location | 215 W 10th Ave, Eugene, Oregon |
| Authorized Official Name and Position | David Neil Boyer (OWNER / THERAPIST) |
| Authorized Official Contact | 5416065777 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Seeds Of Change Counseling Services, Llc. Po Box 40715 Eugene OR 97404-0110 Ph: (541) 606-5777 | Seeds Of Change Counseling Services, Llc. 215 W 10th Ave Eugene OR 97401-3008 Ph: (541) 344-7088 |
| NPI Number | 1972212611 |
|---|---|
| Provider Enumeration Date | 11/22/2022 |
| Last Update Date | 03/07/2024 |
| Certification Date | 04/16/2023 |
| Medicare PECOS PAC ID | 4183068042 |
|---|---|
| Medicare Enrollment ID | O20240219002403 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972212611 | NPI | - | NPPES |
| 101YM0800X | Medicaid | OR | |
| 106H00000X | Medicaid | OR |
| Provider Name | David N Boyer |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1396951992 PECOS PAC ID: 8527411222 Enrollment ID: I20240319003732 |
| Provider Name | Roseanna F Boyer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689123762 PECOS PAC ID: 3476906173 Enrollment ID: I20240319003777 |
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