ROGUE PSYCH CONSULTANTS LLC NPI 1447727110

NPI Information

NPI: 1447727110
Provider Name: ROGUE PSYCH CONSULTANTS, LLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
835 CRATER LAKE AVE
MEDFORD, OR
ZIP 97504
Phone: (541) 500-8655
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ROGUE PSYCH CONSULTANTS, LLC is a mental health counselor in Medford, OR. ROGUE PSYCH CONSULTANTS, LLC NPI is 1447727110. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

835 CRATER LAKE AVE
MEDFORD, OR
ZIP 97504-505
Phone: (541) 500-8655
Fax: (800) 433-1396

The provider's authorized official is Evan Alvord .
The authorized official title is Sole Member and has the following contact phone number (541) 500-8655.

The enumeration date for this NPI number is 10/31/2018 and was last updated on 11/8/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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