Provider Demographics
NPI:1437642253
Name:HOUCK, INCORPORATED
Entity Type:Organization
Organization Name:HOUCK, INCORPORATED
Other - Org Name:DEAF & HARD OF HEARING COUNSELING SERVICES, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BRADLEY
Authorized Official - Middle Name:FRANCOM
Authorized Official - Last Name:HOUCK
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:971-239-5852
Mailing Address - Street 1:PO BOX 5083
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97304-0083
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:503-585-1907
Practice Address - Street 1:161 HIGH ST SE STE 254
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97301-3957
Practice Address - Country:US
Practice Address - Phone:503-400-6364
Practice Address - Fax:503-585-1907
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-07
Last Update Date:2018-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORL42221041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty