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BROKEN TOP COUNSELING LLC NPI 1679217673


NPI Information

NPI: 1679217673
Provider Name: BROKEN TOP COUNSELING, LLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
760 NW HARRIMAN ST STE 100
BEND, OR
ZIP 97703
Phone: (541) 280-5210
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BROKEN TOP COUNSELING, LLC is a mental health counselor in Bend, OR. BROKEN TOP COUNSELING, LLC NPI is 1679217673. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

760 NW HARRIMAN ST STE 100
BEND, OR
ZIP 97703-789
Phone: (541) 280-5210

The provider's authorized official is Timothy Moore .
The authorized official title is Owner and has the following contact phone number (541) 280-5210.

The enumeration date for this NPI number is 4/25/2022 and was last updated on 4/25/2022.


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
1101YM0800XCounselorMental HealthYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.