| Bean Bag Therapy | |
|
25 6th St Fairview OR 97024-1941 | |
| (818) 579-2029 | |
| Not Available |
| Full Name | Bean Bag Therapy |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 25 6th St, Fairview, Oregon |
| Authorized Official Name and Position | Lisa Peacock Mclaughlin (SOLE PROPRIETOR/ONLY MEMBER) |
| Authorized Official Contact | 8185792029 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bean Bag Therapy 25 6th St Fairview OR 97024-1941 Ph: (818) 579-2029 | Bean Bag Therapy 25 6th St Fairview OR 97024-1941 Ph: (818) 579-2029 |
| NPI Number | 1275205379 |
|---|---|
| Provider Enumeration Date | 09/28/2021 |
| Last Update Date | 09/28/2021 |
| Certification Date | 09/28/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275205379 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Brian G Cox Lcsw Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1450 Ne Village St, Fairview, OR 97024 Phone: 503-492-4492 Fax: 503-492-0855 |