| Blue Grotto Art Therapy Studio Llc | |
|
5555 N Highway 101 Otis OR 97368-9620 | |
| (541) 921-5291 | |
| Not Available |
| Full Name | Blue Grotto Art Therapy Studio Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 5555 N Highway 101, Otis, Oregon |
| Authorized Official Name and Position | Susanne Katharina Freitag (OWNER / AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 5419215291 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Grotto Art Therapy Studio Llc 5555 N Highway 101 Otis OR 97368-9620 Ph: (541) 921-5291 | Blue Grotto Art Therapy Studio Llc 5555 N Highway 101 Otis OR 97368-9620 Ph: (541) 921-5291 |
| NPI Number | 1841159167 |
|---|---|
| Provider Enumeration Date | 01/21/2026 |
| Last Update Date | 01/21/2026 |
| Certification Date | 01/21/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841159167 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Anchors Of Hope, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9252 S. Schooner Creek Rd, Otis, OR 97368 Phone: 541-921-1504 Fax: 620-682-9840 |