| Marble Counseling & Consulting, Llc | |
|
70 Sw Century Dr Ste 100-5038 Bend OR 97702-3557 | |
| (541) 668-6141 | |
| (541) 236-0332 |
| Full Name | Marble Counseling & Consulting, Llc |
|---|---|
| Speciality | Counselor |
| Location | 70 Sw Century Dr Ste 100-5038, Bend, Oregon |
| Authorized Official Name and Position | Rachael Marble Leary (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 5416686141 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marble Counseling & Consulting, Llc 70 Sw Century Drive Ste. 100 Pmb 5038 Bend OR 97702 Ph: (541) 668-6141 | Marble Counseling & Consulting, Llc 70 Sw Century Dr Ste 100-5038 Bend OR 97702-3557 Ph: (541) 668-6141 |
| NPI Number | 1700545522 |
|---|---|
| Provider Enumeration Date | 12/08/2021 |
| Last Update Date | 02/07/2024 |
| Certification Date | 02/07/2024 |
| Medicare PECOS PAC ID | 3779920541 |
|---|---|
| Medicare Enrollment ID | O20240328002066 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700545522 | NPI | - | NPPES |
| 1700545522 | Other | OR | NPI2 |
| 500802970 | Medicaid | OR |
| Provider Name | Rachael Marble Leary |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043638448 PECOS PAC ID: 4688011455 Enrollment ID: I20240328002211 |
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