| Fairview Mental Health Llc | |
|
358 Elk Dr Cottage Grove OR 97424-1049 | |
| (541) 221-2733 | |
| Not Available |
| Full Name | Fairview Mental Health Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 358 Elk Dr, Cottage Grove, Oregon |
| Authorized Official Name and Position | Mindy Wright (OWNER) |
| Authorized Official Contact | 5412212733 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fairview Mental Health Llc 358 Elk Dr Cottage Grove OR 97424-1049 Ph: (541) 221-2733 | Fairview Mental Health Llc 358 Elk Dr Cottage Grove OR 97424-1049 Ph: (541) 221-2733 |
| NPI Number | 1801683123 |
|---|---|
| Provider Enumeration Date | 04/21/2025 |
| Last Update Date | 04/21/2025 |
| Certification Date | 04/21/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801683123 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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