| Behavioral Health Center Llc | |
|
399 E 10th Ave Suite #113 Eugene OR 97401-3380 | |
| (541) 342-8208 | |
| (541) 687-8159 |
| Full Name | Behavioral Health Center Llc |
|---|---|
| Speciality | Psychologist |
| Location | 399 E 10th Ave, Eugene, Oregon |
| Authorized Official Name and Position | Dennis J Viene (MEMBER) |
| Authorized Official Contact | 5413428208 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral Health Center Llc 399 E 10th Ave Suite #113 Eugene OR 97401-3380 Ph: (541) 342-8208 | Behavioral Health Center Llc 399 E 10th Ave Suite #113 Eugene OR 97401-3380 Ph: (541) 342-8208 |
| NPI Number | 1013378835 |
|---|---|
| Provider Enumeration Date | 03/08/2016 |
| Last Update Date | 03/18/2016 |
| Medicare PECOS PAC ID | 6103196902 |
|---|---|
| Medicare Enrollment ID | O20170727001794 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013378835 | NPI | - | NPPES |
| Provider Name | Michelle Rindy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720226335 PECOS PAC ID: 9234374497 Enrollment ID: I20130319000038 |
| Provider Name | Dennis J Viene |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1457499816 PECOS PAC ID: 0547498610 Enrollment ID: I20140117000207 |
| Provider Name | Jalene K Deane |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265830855 PECOS PAC ID: 7810269180 Enrollment ID: I20170821003317 |
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