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Organization

EVERTIDE COUNSELING LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MERRI LYNNE SEEGRIST LCSW (OWNER/THERAPIST)
(435) 256-1965
Entity
Organization

Contact information

Practice address
49280 HIGHWAY 101, BANDON, OR 97411-8225
(435) 256-1965
(541) 275-1220
Mailing address
49280 HIGHWAY 101, BANDON, OR 97411-8225
(435) 256-1965
(541) 275-1220

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
R247414
OR
Enumeration date
10/02/2025
Last updated
10/02/2025
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