Provider Demographics
NPI:1457975872
Name:NOONDAY COUNSELING AND WELLNESS
Entity type:Organization
Organization Name:NOONDAY COUNSELING AND WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:
Authorized Official - Last Name:JOYCE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:925-759-9599
Mailing Address - Street 1:60857 YELLOW LEAF ST
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97702-9353
Mailing Address - Country:US
Mailing Address - Phone:925-759-9599
Mailing Address - Fax:
Practice Address - Street 1:750 CHARBONNEAU STE 207
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97703-7047
Practice Address - Country:US
Practice Address - Phone:541-551-3030
Practice Address - Fax:541-551-3030
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-01
Last Update Date:2020-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR500743503Medicaid