EXODUS RECOVERY SERVICES LLC. (NPI# 1669092201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669092201 |
| Entity Type | Organization |
| Organization Name | EXODUS RECOVERY SERVICES LLC. |
| Practice Address |
230 N 3rd St Ste 105 Harrisburg OR 97446-9679 |
| Practice Telephone | 5419985660 |
| Practice Fax Number | 5419985678 |
| Mailing Telephone | 5419985660 |
| Mailing Fax Number | 5419985678 |
| Enumeration Date | 2020-04-23 |
| Last Update Date | 2020-04-23 |
| Authorized Official Name | ELIZABETH ANN MERRITT (DIRECTOR) |
| Authorized Official Telephone | 5419521719 |
| Authorized Official Credential | QMHA, NCACI, CAD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
230 N 3RD ST STE 105 |
| City | HARRISBURG |
| State | OR |
| Zip Code | 97446-9679 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801255211 | Marcus Teal | Counselor | 230 N 3rd St Ste 105, Harrisburg, OR 97446-9679 | 2016-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922458371 | Icco LLC | Clinic/Center | 420 Smith St, Harrisburg, OR 97446 | 2016-06-16 |
| 1902073471 | Curtis Pharmacy Inc. | Pharmacy | 230 N. 3rd St., Suite 106, Harrisburg, OR 97446 | 2008-05-13 |
| 1720178874 | Linn Co School Dist | Local Education Agency (LEA) | 865 Lasalle St, Harrisburg, OR 97446 | 2006-10-12 |
| 1700146719 | Aaron Clinton Oakes | Counselor | 450 N 6th St, Harrisburg, OR 97446-8620 | 2012-05-23 |
| 1659896421 | Alex Mychal Ball | Specialist/Technologist | 1074 Applegate Pl, Harrisburg, OR 97446-8703 | 2017-08-13 |
| 1720365737 | Clark Delaine Texley Jr. | Pharmacist | 605 N 8th St, Harrisburg, OR 97446-9552 | 2011-11-04 |
| 1639572217 | Matthew Williams | Licensed Practical Nurse | 855 S 8th St, Harrisburg, OR 97446-9588 | 2014-09-26 |
| 1407121106 | Sean's Place, Incorporated | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 930 Hammer St, Harrisburg, OR 97446-9590 | 2012-03-13 |
| 1710210935 | Robert William Curtis | Pharmacist | 230 N 3rd St Ste 106, Harrisburg, OR 97446-9679 | 2009-09-08 |
| 1598733230 | Country Counseling | Psychologist | 230 N 3rd St, Suite 105, Harrisburg, OR 97446-9679 | 2006-03-09 |
| Find all providers in zip 97446 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003360413 | Jessica Marie Eichelberger | Counselor | 4802 Peterborough Rd, Harrisburg, PA 17109-5215 | 2016-08-15 |
| 1154781862 | Kenneth Sutton | Counselor | 419 Radcliffe Dr, Harrisburg, PA 17109-5459 | 2016-02-24 |
| 1184934556 | Denise Hackman | Counselor | 2215 Forest Hills Dr Ste 36, Harrisburg, PA 17112-1099 | 2010-10-19 |
| 1093956856 | Deborah L Salem | Counselor | 2201 N 2nd St, 2nd Floor, Harrisburg, PA 17110-1007 | 2009-03-09 |
| 1609976661 | Genesis House Harrisburg | Counselor | 2901 N Sixth Street, Harrisburg, PA 17102 | 2006-09-22 |
| 1669414991 | Mazzitti & Sullivan Counseling Services, Inc. | Counselor | 3207 N Front St, Harrisburg, PA 17110-1311 | 2006-06-12 |
| 1689615635 | Virginia Leary Getz | Counselor | 3235 N 3rd St, Harrisburg, PA 17110-1308 | 2006-06-09 |
| 1467062216 | Kayla Dowling | Counselor | 55 S Progress Ave, Harrisburg, PA 17109-4600 | 2020-08-06 |
| 1962024315 | Catherine Underwood | Counselor | 548 S 17th St, Harrisburg, PA 17104-2223 | 2020-05-08 |
| 1831726041 | Olivia Rose Mahnkopf | Counselor | 99 S Cameron St, Harrisburg, PA 17101-2809 | 2020-03-26 |
| Find all providers in HARRISBURG | ||||
| City | HARRISBURG |
| Zip Code | 97446 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.