Provider Demographics
NPI:1194112243
Name:EMPOWERING CHOICES COUNSELING & CONSULTATION
Entity type:Organization
Organization Name:EMPOWERING CHOICES COUNSELING & CONSULTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR, PARTNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JANDA
Authorized Official - Middle Name:ANITA
Authorized Official - Last Name:GRIGSBY
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:541-740-6589
Mailing Address - Street 1:805 LIBERTY ST NE SUITE 2
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97301
Mailing Address - Country:US
Mailing Address - Phone:503-589-3112
Mailing Address - Fax:503-589-3179
Practice Address - Street 1:805 LIBERTY ST NE
Practice Address - Street 2:SUITE 2
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97301-2451
Practice Address - Country:US
Practice Address - Phone:503-589-3112
Practice Address - Fax:503-589-3179
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-15
Last Update Date:2022-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Single Specialty