Provider Demographics
NPI:1437613593
Name:TELEAH LYNN RINGHAND
Entity Type:Organization
Organization Name:TELEAH LYNN RINGHAND
Other - Org Name:FOREVER FAMILY THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TELEAH
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:RINGHAND
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, QMHP
Authorized Official - Phone:541-604-1017
Mailing Address - Street 1:220 NW OREGON AVE STE 202
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97703-2745
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:220 NW OREGON AVE STE 202
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97703-2745
Practice Address - Country:US
Practice Address - Phone:541-846-8173
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-23
Last Update Date:2020-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty