Organization
TIM LANDRY THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY LANDRY LCSW (LICENSED CLINICAL SOCIAL WORKER)
(541) 206-5071
Entity
Organization
Contact information
Practice address
1450 BIRCH AVE RM AA, COTTAGE GROVE, OR 97424-1417
(541) 206-5071
Mailing address
1450 BIRCH AVE RM AA, COTTAGE GROVE, OR 97424-1417
(541) 206-5071
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
08/03/2026
Last updated
08/03/2026
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