| Well Aware Therapy, Llc | |
|
132 E Broadway Ste 323 Eugene OR 97401-3154 | |
| (541) 972-1145 | |
| Not Available |
| Full Name | Well Aware Therapy, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 132 E Broadway Ste 323, Eugene, Oregon |
| Authorized Official Name and Position | Kolten Kennedy (MANAGER) |
| Authorized Official Contact | 5419721145 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Well Aware Therapy, Llc 132 E Broadway Ste 323 Eugene OR 97401-3154 Ph: (541) 972-1145 | Well Aware Therapy, Llc 132 E Broadway Ste 323 Eugene OR 97401-3154 Ph: (541) 972-1145 |
| NPI Number | 1700549250 |
|---|---|
| Provider Enumeration Date | 10/20/2021 |
| Last Update Date | 10/20/2021 |
| Certification Date | 10/20/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700549250 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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