Provider Demographics
NPI:1508570011
Name:COUNSELING SERVICES LLC
Entity Type:Organization
Organization Name:COUNSELING SERVICES LLC
Other - Org Name:WESTVIEW COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JARRET
Authorized Official - Middle Name:P
Authorized Official - Last Name:AVERY
Authorized Official - Suffix:
Authorized Official - Credentials:MC, LPC, CADC1, QMHP
Authorized Official - Phone:541-480-7445
Mailing Address - Street 1:2542 NE COURTNEY DR
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97701-7685
Mailing Address - Country:US
Mailing Address - Phone:541-480-7445
Mailing Address - Fax:
Practice Address - Street 1:2542 NE COURTNEY DR
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97701-7685
Practice Address - Country:US
Practice Address - Phone:541-480-7445
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-09
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty