| Eye To Eye Counseling And Therapy Llc | |
|
980 Sw 6th St Ste 19a Grants Pass OR 97526-2910 | |
| (541) 476-7688 | |
| (541) 476-7688 |
| Full Name | Eye To Eye Counseling And Therapy Llc |
|---|---|
| Speciality | Counselor |
| Location | 980 Sw 6th St Ste 19a, Grants Pass, Oregon |
| Authorized Official Name and Position | Tamara Melissa Ulrey (OWNER) |
| Authorized Official Contact | 5416211487 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eye To Eye Counseling And Therapy Llc 980 Sw 6th St Ste 19a Grants Pass OR 97526-2910 Ph: (541) 476-7688 | Eye To Eye Counseling And Therapy Llc 980 Sw 6th St Ste 19a Grants Pass OR 97526-2910 Ph: (541) 476-7688 |
| NPI Number | 1942962782 |
|---|---|
| Provider Enumeration Date | 10/08/2021 |
| Last Update Date | 10/08/2021 |
| Certification Date | 10/08/2021 |
| Medicare PECOS PAC ID | 7911305156 |
|---|---|
| Medicare Enrollment ID | O20211001002063 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942962782 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Tamara M Ulrey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952605115 PECOS PAC ID: 3072751908 Enrollment ID: I20130604000521 |
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