| Sparrow Professional Development & Counseling Center | |
|
607 Se Jefferson St Dallas OR 97338-2025 | |
| (503) 910-6822 | |
| Not Available |
| Full Name | Sparrow Professional Development & Counseling Center |
|---|---|
| Speciality | Counselor |
| Location | 607 Se Jefferson St, Dallas, Oregon |
| Authorized Official Name and Position | Slad F Thackeray (DIRECTOR/OWNER) |
| Authorized Official Contact | 5039106822 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sparrow Professional Development & Counseling Center 1151 Sw Levens St Dallas OR 97338-2266 Ph: (503) 910-6822 | Sparrow Professional Development & Counseling Center 607 Se Jefferson St Dallas OR 97338-2025 Ph: (503) 910-6822 |
| NPI Number | 1881358901 |
|---|---|
| Provider Enumeration Date | 10/25/2021 |
| Last Update Date | 11/05/2021 |
| Certification Date | 11/05/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881358901 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
Oregon Recovery Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 147 Sw Court St, Dallas, OR 97338 Phone: 503-304-4358 | |
Polk County Mental Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 182 Sw Academy St, Suite304, Dallas, OR 97338 Phone: 503-623-9289 Fax: 503-831-1726 | |
Clear Paths Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 171 Sw Court, Dallas, OR 97338 Phone: 503-831-1423 Fax: 503-831-1573 | |
Polk County Health And Human Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 182 Sw Academy St, Dallas, OR 97338 Phone: 503-623-9289 | |
Polk County Mental Health Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 182 Sw Academy, Suite 304, Dallas, OR 97338 Phone: 503-623-9289 Fax: 503-831-1726 | |
Polk County Mental Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 182 Sw Academy St, Suite 304, Dallas, OR 97338 Phone: 503-623-9289 Fax: 503-831-1726 | |
Thrive Therapy & Wellness Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 505 Ne Evergreen Ave, Dallas, OR 97338 Phone: 503-383-1422 |