| Alive Counseling Clinic, Llc | |
|
2233 Willamette St Ste F Eugene OR 97405-2890 | |
| (541) 216-4034 | |
| (541) 216-4034 |
| Full Name | Alive Counseling Clinic, Llc |
|---|---|
| Speciality | Counselor |
| Location | 2233 Willamette St Ste F, Eugene, Oregon |
| Authorized Official Name and Position | Erin Frazier-maskiell (OWNER) |
| Authorized Official Contact | 5413573248 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alive Counseling Clinic, Llc 2233 Willamette St Ste F Eugene OR 97405-2890 Ph: (541) 216-4034 | Alive Counseling Clinic, Llc 2233 Willamette St Ste F Eugene OR 97405-2890 Ph: (541) 216-4034 |
| NPI Number | 1801651617 |
|---|---|
| Provider Enumeration Date | 02/20/2024 |
| Last Update Date | 07/23/2025 |
| Certification Date | 07/23/2025 |
| Medicare PECOS PAC ID | 9739627399 |
|---|---|
| Medicare Enrollment ID | O20240814000228 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801651617 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Marcia Smaha |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730467630 PECOS PAC ID: 1557809118 Enrollment ID: I20240823002896 |
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