| Hope Mental Health Services, Llc | |
|
870 Alder Street Elgin OR 97827 | |
| (541) 624-3117 | |
| (541) 605-5361 |
| Full Name | Hope Mental Health Services, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 870 Alder Street, Elgin, Oregon |
| Authorized Official Name and Position | Connie Marie Carter (PSYCH NP/OWNER) |
| Authorized Official Contact | 5416243117 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hope Mental Health Services, Llc Po Box 614 Elgin OR 97827-0614 Ph: (541) 624-3117 | Hope Mental Health Services, Llc 870 Alder Street Elgin OR 97827 Ph: (541) 624-3117 |
| NPI Number | 1851064034 |
|---|---|
| Provider Enumeration Date | 07/26/2021 |
| Last Update Date | 07/26/2021 |
| Certification Date | 06/28/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851064034 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |