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DEEPER WELL PSYCHOTHERAPY AND COUNSELING LLC NPI 1548748361


NPI Information

NPI: 1548748361
Provider Name: DEEPER WELL PSYCHOTHERAPY AND COUNSELING, LLC
Classification: Marriage & Family Therapist - 106H00000X
Entity Type: Organization
Address:
120 SW 4TH ST
CORVALLIS, OR
ZIP 97333
Phone: (541) 262-0080
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DEEPER WELL PSYCHOTHERAPY AND COUNSELING, LLC is a marriage family therapist in Corvallis, OR. The provider is a marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. DEEPER WELL PSYCHOTHERAPY AND COUNSELING, LLC NPI is 1548748361. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

120 SW 4TH ST
CORVALLIS, OR
ZIP 97333-724
Phone: (541) 262-0080

The provider's authorized official is Maria P Orr .
The authorized official title is Owner and has the following contact phone number (831) 331-5993.

The enumeration date for this NPI number is 8/2/2018 and was last updated on 4/10/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1106H00000XMarriage & Family TherapistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11497192306MEDICAIDOREGON

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

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