Provider Demographics
NPI:1437731601
Name:PERRY COUNSELING SERVICES, LLC
Entity Type:Organization
Organization Name:PERRY COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER & COUNSELOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ALMYRA
Authorized Official - Middle Name:J
Authorized Official - Last Name:PERRY
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:405-699-1104
Mailing Address - Street 1:860 IVERN DR
Mailing Address - Street 2:
Mailing Address - City:CENTRAL POINT
Mailing Address - State:OR
Mailing Address - Zip Code:97502-3621
Mailing Address - Country:US
Mailing Address - Phone:405-699-1104
Mailing Address - Fax:541-423-5313
Practice Address - Street 1:107 E MAIN ST STE 8
Practice Address - Street 2:
Practice Address - City:MEDFORD
Practice Address - State:OR
Practice Address - Zip Code:97501-6022
Practice Address - Country:US
Practice Address - Phone:405-699-1104
Practice Address - Fax:541-499-0271
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-26
Last Update Date:2022-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR500717535Medicaid