Organization
BITTERROOT FAMILY THERAPY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA LARIMER BURTIS LMFT (CHIEF EXECUTIVE OFFICER)
(707) 962-3161
Entity
Organization
Contact information
Practice address
347 CYPRESS ST STE A, FORT BRAGG, CA 95437-5458
(707) 962-3161
(707) 937-1876
Mailing address
PO BOX 653, MENDOCINO, CA 95460-0653
(707) 962-3161
(707) 937-1876
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1952445454
—
CA
Enumeration date
03/02/2021
Last updated
06/20/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us