| Kids & Company Counseling, Inc | |
|
1813 W Harvard Ave Ste 427 Roseburg OR 97471-8712 | |
| (907) 545-3079 | |
| Not Available |
| Full Name | Kids & Company Counseling, Inc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1813 W Harvard Ave Ste 427, Roseburg, Oregon |
| Authorized Official Name and Position | Deborah Ann Rogers (OWNER/GENERAL MANAGER) |
| Authorized Official Contact | 5418175326 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kids & Company Counseling, Inc 1813 W Harvard Ave Ste 427 Roseburg OR 97471-8712 Ph: (541) 817-5326 | Kids & Company Counseling, Inc 1813 W Harvard Ave Ste 427 Roseburg OR 97471-8712 Ph: (907) 545-3079 |
| NPI Number | 1033770938 |
|---|---|
| Provider Enumeration Date | 06/22/2019 |
| Last Update Date | 08/28/2020 |
| Certification Date | 08/28/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033770938 | NPI | - | NPPES |
| PCOP933 | Other | AK | PROFESSIONAL COUNSELOR LICENSE |
| 500733657 | Medicaid | OR | |
| LH60275886 | Other | WA | MENTAL HEALTH COUNSELOR LICENSE |
| C4751 | Other | OR | PROFESSIONAL COUNSELOR LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Vituity Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2700 Nw Stewart Pkwy, Roseburg, OR 97471 Phone: 541-673-0611 | |
Douglas County Mental Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 621 W Madrone St, Roseburg, OR 97470 Phone: 541-440-3532 | |
Serenity Lane Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2575 Nw Kline St, Roseburg, OR 97471 Phone: 541-673-3504 Fax: 541-673-4724 | |
Mercy Behavioral Health Unit Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2700 Nw Stewart Pkwy, Roseburg, OR 97470 Phone: 541-677-2458 Fax: 541-677-1554 | |
Community Health Alliance Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1813 W Harvard Ave, Ste 448, Roseburg, OR 97471 Phone: 541-464-4079 Fax: 541-440-6306 | |
Yop Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 550 Se Jackson St, Roseburg, OR 97470 Phone: 541-672-2691 Fax: 541-673-5642 |