Provider Demographics
NPI:1104436716
Name:LEADING LIGHT COUNSELING
Entity type:Organization
Organization Name:LEADING LIGHT COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:CHENIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:503-957-1023
Mailing Address - Street 1:516 SE MORRISON ST STE 212
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97214-2342
Mailing Address - Country:US
Mailing Address - Phone:503-957-1023
Mailing Address - Fax:
Practice Address - Street 1:14511 WESTLAKE DR STE 121
Practice Address - Street 2:
Practice Address - City:LAKE OSWEGO
Practice Address - State:OR
Practice Address - Zip Code:97035-7783
Practice Address - Country:US
Practice Address - Phone:503-957-1032
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-07
Last Update Date:2023-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty