| Trauma Recovery Services, Llc | |
|
1605 Siskiyou Blvd Ashland OR 97520-2400 | |
| (541) 200-5743 | |
| Not Available |
| Full Name | Trauma Recovery Services, Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1605 Siskiyou Blvd, Ashland, Oregon |
| Authorized Official Name and Position | Brynne Johannsen (OWNER/PSYCHOLOGIST) |
| Authorized Official Contact | 5412005743 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Trauma Recovery Services, Llc Po Box 1787 Medford OR 97501-0261 Ph: (541) 500-8655 | Trauma Recovery Services, Llc 1605 Siskiyou Blvd Ashland OR 97520-2400 Ph: (541) 200-5743 |
| NPI Number | 1033916721 |
|---|---|
| Provider Enumeration Date | 02/28/2025 |
| Last Update Date | 03/07/2025 |
| Certification Date | 03/07/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033916721 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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