Provider Demographics
NPI:1104276302
Name:ALL HEART COUNSELING SERVICES
Entity type:Organization
Organization Name:ALL HEART COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PART OWNER/COUNSELOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MEDRANO
Authorized Official - Suffix:
Authorized Official - Credentials:CADCII,CGACII,NCGCII
Authorized Official - Phone:154-142-9000
Mailing Address - Street 1:114 SE 1ST ST
Mailing Address - Street 2:
Mailing Address - City:PENDLETON
Mailing Address - State:OR
Mailing Address - Zip Code:97801-2204
Mailing Address - Country:US
Mailing Address - Phone:541-429-9000
Mailing Address - Fax:
Practice Address - Street 1:114 SE 1ST ST
Practice Address - Street 2:
Practice Address - City:PENDLETON
Practice Address - State:OR
Practice Address - Zip Code:97801-2204
Practice Address - Country:US
Practice Address - Phone:541-429-9000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-17
Last Update Date:2016-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health