Individual ProviderShira SkybinskyyCounselorBehavioral Health & Social Service ProvidersPractice Address419 E 7th St Ste 207, The Dalles, OR 97058-2676(541) 296-5452PECOS EnrollmentBased on the most recent information from CMS, provider Shira Skybinskyy does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1215486154Provider TypeIndividualFull NameSkybinskyy, ShiraCredentialQMHPGenderFemaleSole ProprietorNoEnumeration Date10/3/2016Last Updated4/2/2020Contact InformationPractice LocationPractice Address419 E 7th St Ste 207, The Dalles, OR 97058-2676Phone(541) 296-5452Fax(541) 296-1537Mailing LocationMailing Address419 E 7th St Ste 207, The Dalles, OR 97058-2676Phone(541) 296-5452Fax(541) 296-1537Provider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseC4715OregonCode104100000XDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID911797454DescriptionMedicaidIssuerUnlistedOregon