| Lamplight Therapy Llc | |
|
20 N 5th St Cottage Grove OR 97424-2005 | |
| (541) 357-8082 | |
| (866) 931-2340 |
| Full Name | Lamplight Therapy Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 20 N 5th St, Cottage Grove, Oregon |
| Authorized Official Name and Position | Antra Victoria Renault (OWNER, THERAPIST) |
| Authorized Official Contact | 5413578082 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lamplight Therapy Llc 73560 Abeene Ln Cottage Grove OR 97424-9201 Ph: (541) 357-8082 | Lamplight Therapy Llc 20 N 5th St Cottage Grove OR 97424-2005 Ph: (541) 357-8082 |
| NPI Number | 1609673391 |
|---|---|
| Provider Enumeration Date | 02/28/2025 |
| Last Update Date | 02/28/2025 |
| Certification Date | 02/28/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609673391 | NPI | - | NPPES |
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