| Golden Braid Therapy Llc | |
|
636 Sw 2nd St Corvallis OR 97333-4442 | |
| (541) 250-0617 | |
| Not Available |
| Full Name | Golden Braid Therapy Llc |
|---|---|
| Speciality | Social Worker |
| Location | 636 Sw 2nd St, Corvallis, Oregon |
| Authorized Official Name and Position | Tara Nierenberg (SOLE PROVIDER) |
| Authorized Official Contact | 5412500617 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Golden Braid Therapy Llc 636 Sw 2nd St Corvallis OR 97333-4442 Ph: (541) 250-0617 | Golden Braid Therapy Llc 636 Sw 2nd St Corvallis OR 97333-4442 Ph: (541) 250-0617 |
| NPI Number | 1659979326 |
|---|---|
| Provider Enumeration Date | 10/14/2020 |
| Last Update Date | 05/01/2025 |
| Certification Date | 05/01/2025 |
| Medicare PECOS PAC ID | 2769893874 |
|---|---|
| Medicare Enrollment ID | O20201120002112 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659979326 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Tara R Nierenberg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730414418 PECOS PAC ID: 0042514887 Enrollment ID: I20160215002051 |
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