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Contact Information

PHILOMATH COUNSELING, LLC
1229 MAIN ST. #105
PHILOMATH, OR97370
 Phone: 541-929-2878
 Fax: 541-929-3770
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for PHILOMATH COUNSELING, LLC

NPI Number 1255850889
LBN Legal business name PHILOMATH COUNSELING, LLC
Authorized official JEANNE GREGG - (MEMBER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/14/2017
Last updated 09/14/2017 - About 9 years ago
Identifiers
OR License # L4097
OR Medicaid 043278
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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