Organization · Type 2 NPI

Lifesource Therapy LLC

Mental Health Counselor · Bend, OR

NPI number 1003660036 Active

Practice location

24455 Dodds Rd
Bend, OR 97701-9665

Call (541) 777-7230 Map

Mailing address

1900 NE 3rd St Ste 106
Bend, OR 97701-3889

Other practice locations

  • 103 Lucky Dr, Silsbee, TX 77656-3107 · (541) 777-7230

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1003660036

Lifesource Therapy LLC's National Provider Identifier is 1003660036, issued on Apr 16, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bend, OR. The record was last updated on Aug 18, 2025.