Organization · Type 2 NPI

Riverside Family Counseling, LLC

Mental Health Counselor · Bend, OR

NPI number 1932690328 Active

Practice location

497 SW Century Dr Ste 102
Bend, OR 97702-1167

Fax (541) 318-0058

Specialties and licenses

Taxonomy	Code	License
Mental Health Counselor Primary	101YM0800X	None listed

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NPI record

NPI: 1932690328
Entity type: Organization (Type 2)
Issued: May 22, 2018
Last updated: May 22, 2018
Status: Active

Other names

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Riverside Family Counseling, LLC · doing business as
Riverside Family Counseling, LLC · doing business as

Authorized official

Stephanie Lucas, LMFT
CEO
(541) 316-8292

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1932690328

Riverside Family Counseling, LLC's National Provider Identifier is 1932690328, issued on May 22, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bend, OR. The record was last updated on May 22, 2018.