STREAMSIDE COUNSELING CENTER NPI 1255431706

NPI Information

NPI: 1255431706
Provider Name: STREAMSIDE COUNSELING CENTER
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
693 NE STEPHENS ST
SUITE A
ROSEBURG, OR
ZIP 97470
Phone: (541) 464-8700
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STREAMSIDE COUNSELING CENTER is a mental health counselor in Roseburg, OR. STREAMSIDE COUNSELING CENTER NPI is 1255431706. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

693 NE STEPHENS ST
SUITE A
ROSEBURG, OR
ZIP 97470-192
Phone: (541) 464-8700
Fax: (541) 464-8700

The provider's authorized official is Matthew Newey .
The authorized official title is Executive Director and has the following contact phone number (541) 784-6444.

The enumeration date for this NPI number is 9/25/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	C1635	OREGON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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