Provider Demographics
NPI:1073006011
Name:STEELHEAD COUNSEING
Entity Type:Organization
Organization Name:STEELHEAD COUNSEING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DEBBIE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:LEAS
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:541-639-7221
Mailing Address - Street 1:223 SE DAVIS AVE
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97702-1333
Mailing Address - Country:US
Mailing Address - Phone:541-639-7221
Mailing Address - Fax:541-633-7220
Practice Address - Street 1:223 SE DAVIS AVE
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97702-1333
Practice Address - Country:US
Practice Address - Phone:541-639-7221
Practice Address - Fax:541-633-7220
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-13
Last Update Date:2018-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORT1395106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty