| Epiphany Corporation | |
|
60 W 34th Ave Eugene OR 97405-5127 | |
| (503) 412-8868 | |
| (541) 399-8165 |
| Full Name | Epiphany Corporation |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 60 W 34th Ave, Eugene, Oregon |
| Authorized Official Name and Position | Heather Lynn Glenn (PRESIDENT) |
| Authorized Official Contact | 5034128868 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Epiphany Corporation Po Box 5170 Eugene OR 97405-0170 Ph: (503) 412-8868 | Epiphany Corporation 60 W 34th Ave Eugene OR 97405-5127 Ph: (503) 412-8868 |
| NPI Number | 1609382472 |
|---|---|
| Provider Enumeration Date | 12/15/2017 |
| Last Update Date | 06/11/2025 |
| Certification Date | 06/11/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609382472 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LPC4456 (Oregon) | Primary |
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