| Kids & Company Inc | |
|
1813 W Harvard Ave Ste 438 Roseburg OR 97471-8705 | |
| (541) 391-7400 | |
| (800) 864-2539 |
| Full Name | Kids & Company Inc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1813 W Harvard Ave Ste 438, 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 Inc 1813 W Harvard Ave Ste 438 Roseburg OR 97471-8705 Ph: (541) 391-7400 | Kids & Company Inc 1813 W Harvard Ave Ste 438 Roseburg OR 97471-8705 Ph: (541) 391-7400 |
| NPI Number | 1033770938 |
|---|---|
| Provider Enumeration Date | 06/22/2019 |
| Last Update Date | 05/18/2026 |
| Certification Date | 05/18/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033770938 | NPI | - | NPPES |
| LCPC-9260 | Other | ID | IDAHO BUREAU OF OCCUPATIONAL LICENSES |
| PCOP933 | Other | AK | PROFESSIONAL COUNSELOR LICENSE |
| LH60275886 | Other | WA | MENTAL HEALTH COUNSELOR LICENSE |
| C4751 | Other | OR | PROFESSIONAL COUNSELOR LICENSE |
| LPC-498 | Other | WY | WYOMING MENTAL HEALTH PROFESSIONS LICENSING BOARD |
| 500733657 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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