| Path Of Hope Counseling Llc | |
|
105 W Q St Ste 3 Springfield OR 97477-2188 | |
| (541) 357-9523 | |
| Not Available |
| Full Name | Path Of Hope Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 105 W Q St Ste 3, Springfield, Oregon |
| Authorized Official Name and Position | Rachel C Andrews (OWNER) |
| Authorized Official Contact | 5413579523 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Path Of Hope Counseling Llc 1863 Pioneer Pkwy E # 610 Springfield OR 97477-3907 Ph: (541) 357-9523 | Path Of Hope Counseling Llc 105 W Q St Ste 3 Springfield OR 97477-2188 Ph: (541) 357-9523 |
| NPI Number | 1104589944 |
|---|---|
| Provider Enumeration Date | 10/19/2021 |
| Last Update Date | 10/19/2021 |
| Certification Date | 10/19/2021 |
| Medicare PECOS PAC ID | 0749673499 |
|---|---|
| Medicare Enrollment ID | O20220202000927 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104589944 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Rachel Carolyn Andrews |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508992363 PECOS PAC ID: 2163811464 Enrollment ID: I20211108000628 |
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