Eden Wylie
Individual provider Active NPI Rehabilitation Counselor · Richvale, CA
NPI 1801493754 · NPPES record last updated Oct 5, 2020
Key facts
- NPI
- 1801493754
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Rehabilitation Counselor 225C00000X
- Practice address
- 1229 Broadway St
Richvale, CA 95974-9597 - Phone
- (530) 882-4125
- NPI assigned
- Oct 5, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Environmental Alternatives | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Counselor | 225C00000X | Yes |
Addresses
Primary practice location
1229 Broadway St
Richvale, CA 95974-9597
Mailing address
455 Main St
Quincy, CA 95971-9120
Phone (530) 283-3330
Other providers in Richvale, CA
All providers in Richvale, CA · Rehabilitation Counselor in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 5, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.