Provider Demographics
NPI:1033625157
Name:STRENGTH IN HEALING COUNSELING, LLC
Entity Type:Organization
Organization Name:STRENGTH IN HEALING COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BETTY
Authorized Official - Middle Name:JANE
Authorized Official - Last Name:BEAUMONT
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:480-329-2495
Mailing Address - Street 1:107 N DARK HORSE LN
Mailing Address - Street 2:
Mailing Address - City:SISTERS
Mailing Address - State:OR
Mailing Address - Zip Code:97759-5006
Mailing Address - Country:US
Mailing Address - Phone:480-329-2495
Mailing Address - Fax:
Practice Address - Street 1:220 S PINE ST STE 210
Practice Address - Street 2:
Practice Address - City:SISTERS
Practice Address - State:OR
Practice Address - Zip Code:97759-1679
Practice Address - Country:US
Practice Address - Phone:480-329-2495
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-27
Last Update Date:2017-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR500670691Medicaid