Organization
GATHERED & WISE LLC
Active
Other names
Holly Pomme MSW LCSW
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HOLLY ELISE POMME LCSW, PMH-C (OWNER/CLINICAL DIRECTOR)
(541) 704-7511
Entity
Organization
Contact information
Practice address
112 E BURNETT ST, STAYTON, OR 97383-1704
(541) 704-7511
(541) 325-4082
Mailing address
112 E BURNETT ST, STAYTON, OR 97383-1704
(541) 704-7511
(541) 325-4082
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
L6179
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500797440
—
OR
Enumeration date
02/02/2016
Last updated
12/14/2023
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