# HEATHER HILLS THERAPY CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376775973
- **Authorized official:** ELIZABETH J SUNZERI LMFT (PRESIDENT)
- **Authorized official phone:** (541) 266-7669

## Contact information

- **Practice address:** 92651 HEATHER LN, COOS BAY, OR 97420-7246
- **Practice address phone:** (541) 266-7669
- **Mailing address:** 92651 HEATHER LN, COOS BAY, OR 97420-7246
- **Mailing address phone:** (541) 266-7669

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | T0589 | OR | Yes |

## Other

- **Enumeration date:** 08/14/2009
- **Last updated:** 08/14/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | T0589 | OREGON LICENSE | OR |