Organization
THERAPY TALKS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONY DICENZO LMFT (PROVIDER)
(619) 300-5224
Entity
Organization
Contact information
Practice address
190 NW 4TH ST, PRINEVILLE, OR 97754-1820
(541) 896-1940
Mailing address
946 SW VETERANS WAY STE 102, REDMOND, OR 97756-2745
(541) 896-1940
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500684076
—
OR
Enumeration date
01/10/2020
Last updated
01/10/2020
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