| Amotion Psychotherapy Llc | |
|
119 Nw 2nd Ave Myrtle Creek OR 97457-9138 | |
| (541) 897-8377 | |
| Not Available |
| Full Name | Amotion Psychotherapy Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 119 Nw 2nd Ave, Myrtle Creek, Oregon |
| Authorized Official Name and Position | Thomas Pugel (OWNER) |
| Authorized Official Contact | 5418978377 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amotion Psychotherapy Llc 200 Windy Ridge Ln Canyonville OR 97417-8778 Ph: (541) 897-8377 | Amotion Psychotherapy Llc 119 Nw 2nd Ave Myrtle Creek OR 97457-9138 Ph: (541) 897-8377 |
| NPI Number | 1154080109 |
|---|---|
| Provider Enumeration Date | 12/16/2021 |
| Last Update Date | 10/04/2024 |
| Certification Date | 10/04/2024 |
| Medicare PECOS PAC ID | 6608393145 |
|---|---|
| Medicare Enrollment ID | O20250507003288 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154080109 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Thomas Pugel |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1083756233 PECOS PAC ID: 9739594102 Enrollment ID: I20250610003171 |
Umpqua Community Health Center, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 790 S. Main, Myrtle Creek, OR 97457 Phone: 541-860-4070 Fax: 541-860-5032 | |
South Umpqua Integrated Health Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 244 Ne Division St, Myrtle Creek, OR 97457 Phone: 541-680-9028 |