Provider Demographics
NPI:1417554247
Name:COUNSELING PRACTITIONERS LLC
Entity type:Organization
Organization Name:COUNSELING PRACTITIONERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:N
Authorized Official - Last Name:BENNION
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:541-736-6794
Mailing Address - Street 1:PO BOX 50128
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97405-0970
Mailing Address - Country:US
Mailing Address - Phone:541-736-6794
Mailing Address - Fax:
Practice Address - Street 1:1342 HIGH ST
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-3237
Practice Address - Country:US
Practice Address - Phone:541-543-7171
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-05
Last Update Date:2020-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR50073952Medicaid