| Motivated Mental Performance | |
|
204 W Adams Ave Ste 213 Sisters OR 97759-2517 | |
| (801) 628-3881 | |
| Not Available |
| Full Name | Motivated Mental Performance |
|---|---|
| Speciality | Counselor |
| Location | 204 W Adams Ave Ste 213, Sisters, Oregon |
| Authorized Official Name and Position | Chris Tittle (OWNER/PSYCHOTHERAPIST) |
| Authorized Official Contact | 8016283881 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Motivated Mental Performance 1255 W Hill Ave Sisters OR 97759-3134 Ph: (801) 628-3881 | Motivated Mental Performance 204 W Adams Ave Ste 213 Sisters OR 97759-2517 Ph: (801) 628-3881 |
| NPI Number | 1104755362 |
|---|---|
| Provider Enumeration Date | 05/14/2026 |
| Last Update Date | 05/14/2026 |
| Certification Date | 05/14/2026 |
| Medicare PECOS PAC ID | 5496225237 |
|---|---|
| Medicare Enrollment ID | O20260521003770 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104755362 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | () | Primary |
| Provider Name | Christopher Tittle |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073091872 PECOS PAC ID: 1951871789 Enrollment ID: I20260521003707 |
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