| Meletina Taerbaum, | |
|
4585 Sw 185th Ave, Aloha, OR 97078-1557 | |
| (503) 619-1909 | |
| (503) 848-2072 |
| Full Name | Meletina Taerbaum |
|---|---|
| Gender | Female |
| Speciality | Counselor |
| Location | 4585 Sw 185th Ave, Aloha, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598166829 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Entity Name | Heart And Mind Counseling, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215508627 PECOS PAC ID: 6406233220 Enrollment ID: O20220517002734 |
| Mailing Address | Practice Location Address |
|---|---|
| Meletina Taerbaum, 4585 Sw 185th Ave, Aloha, OR 97078-1557 Ph: (503) 619-1909 | Meletina Taerbaum, 4585 Sw 185th Ave, Aloha, OR 97078-1557 Ph: (503) 619-1909 |
Chelsea Lauren Bish, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 4585 Sw 185th Ave, Aloha, OR 97007 Phone: 503-619-1558 | |
Nicole Renee Allen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4585 Sw 185th Ave, Aloha, OR 97078 Phone: 503-591-9280 Fax: 503-848-2072 | |
Luis Garballos, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4585 Sw 185th Ave, Aloha, OR 97078 Phone: 214-643-6820 Fax: 503-640-0387 | |
Andrew Jon Davis, QMHP,MSW, LCSW Counselor Medicare: Medicare Enrolled Practice Location: 4585 Sw 185th Ave, Aloha, OR 97007 Phone: 503-591-9280 Fax: 503-848-2072 | |
Mr. Edward Liljeholm, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4585 Sw 185th Ave, Aloha, OR 97007 Phone: 503-591-9280 | |
Ms. Theresa Ann Johnson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 20695 Sw Kinnaman Rd, Aloha, OR 97007 Phone: 503-591-8371 | |
Molly Miller, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4585 Sw 185th Ave, Aloha, OR 97078 Phone: 503-504-7129 Fax: 503-848-2072 |