| The Roost Counseling Llc | |
|
257 S Pine St Sisters OR 97759-1680 | |
| (541) 719-8544 | |
| (888) 280-0531 |
| Full Name | The Roost Counseling Llc |
|---|---|
| Speciality | Counselor |
| Location | 257 S Pine St, Sisters, Oregon |
| Authorized Official Name and Position | Loryn Cummins (OWNER) |
| Authorized Official Contact | 5417198544 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Roost Counseling Llc Po Box 1437 Sisters OR 97759-1437 Ph: () - | The Roost Counseling Llc 257 S Pine St Sisters OR 97759-1680 Ph: (541) 719-8544 |
| NPI Number | 1376295576 |
|---|---|
| Provider Enumeration Date | 01/19/2022 |
| Last Update Date | 01/03/2024 |
| Certification Date | 01/03/2024 |
| Medicare PECOS PAC ID | 9234581133 |
|---|---|
| Medicare Enrollment ID | O20240116003779 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376295576 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Loryn B Cummins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962063545 PECOS PAC ID: 2668824574 Enrollment ID: I20240228004698 |
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