Provider Demographics
NPI:1508167370
Name:LIFE STRATEGIES COUNSELING
Entity Type:Organization
Organization Name:LIFE STRATEGIES COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:RENE
Authorized Official - Last Name:LUCAS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, NCC
Authorized Official - Phone:503-435-4840
Mailing Address - Street 1:410 E 3RD ST STE 2
Mailing Address - Street 2:
Mailing Address - City:MCMINNVILLE
Mailing Address - State:OR
Mailing Address - Zip Code:97128-4624
Mailing Address - Country:US
Mailing Address - Phone:503-435-4840
Mailing Address - Fax:503-200-1416
Practice Address - Street 1:410 E 3RD ST STE 2
Practice Address - Street 2:
Practice Address - City:MCMINNVILLE
Practice Address - State:OR
Practice Address - Zip Code:97128-4624
Practice Address - Country:US
Practice Address - Phone:503-435-4840
Practice Address - Fax:503-200-1416
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-10
Last Update Date:2010-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health