| Peacemind Therapy Llc | |
|
33 N Central Ave Ste 213 Medford OR 97501-5939 | |
| (541) 238-5510 | |
| Not Available |
| Full Name | Peacemind Therapy Llc |
|---|---|
| Speciality | Social Worker |
| Location | 33 N Central Ave Ste 213, Medford, Oregon |
| Authorized Official Name and Position | Christine Ober (OWNER) |
| Authorized Official Contact | 5412385510 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Peacemind Therapy Llc 33 N Central Ave Ste 409 Medford OR 97501-5939 Ph: (541) 238-5510 | Peacemind Therapy Llc 33 N Central Ave Ste 213 Medford OR 97501-5939 Ph: (541) 238-5510 |
| NPI Number | 1265188213 |
|---|---|
| Provider Enumeration Date | 02/28/2022 |
| Last Update Date | 10/19/2023 |
| Certification Date | 10/19/2023 |
| Medicare PECOS PAC ID | 1850787565 |
|---|---|
| Medicare Enrollment ID | O20220406000618 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265188213 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Christine Anke Ober |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912352634 PECOS PAC ID: 0749692077 Enrollment ID: I20201210001377 |
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