| Edify Therapy | |
|
2295 Coburg Rd Ste 200 Eugene OR 97401-7489 | |
| (541) 600-2300 | |
| (541) 600-2324 |
| Full Name | Edify Therapy |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2295 Coburg Rd Ste 200, Eugene, Oregon |
| Authorized Official Name and Position | Desiree Dalkiran (MEMBER, CEO, CLINICAL DIRECTOR) |
| Authorized Official Contact | 5416002300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Edify Therapy 2295 Coburg Rd Ste 200 Eugene OR 97401-7489 Ph: (540) 600-2300 | Edify Therapy 2295 Coburg Rd Ste 200 Eugene OR 97401-7489 Ph: (541) 600-2300 |
| NPI Number | 1073139903 |
|---|---|
| Provider Enumeration Date | 06/16/2020 |
| Last Update Date | 08/15/2023 |
| Certification Date | 08/15/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073139903 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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