| Transform Youth And Family Counseling, Llc | |
|
777 Ne 7th St Ste 205 Grants Pass OR 97526-1632 | |
| (541) 507-6400 | |
| (541) 479-4010 |
| Full Name | Transform Youth And Family Counseling, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 777 Ne 7th St Ste 205, Grants Pass, Oregon |
| Authorized Official Name and Position | Lauren Rene Bellenbaum (OWNER) |
| Authorized Official Contact | 5415076400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Transform Youth And Family Counseling, Llc Po Box 4365 Medford OR 97501-0168 Ph: (541) 507-6400 | Transform Youth And Family Counseling, Llc 777 Ne 7th St Ste 205 Grants Pass OR 97526-1632 Ph: (541) 507-6400 |
| NPI Number | 1073192654 |
|---|---|
| Provider Enumeration Date | 04/02/2021 |
| Last Update Date | 12/08/2022 |
| Certification Date | 12/08/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073192654 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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