Provider Demographics
NPI:1518374198
Name:REACHING O.U.T. LLC
Entity Type:Organization
Organization Name:REACHING O.U.T. LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:LESLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:HARRINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:CADC
Authorized Official - Phone:541-610-7678
Mailing Address - Street 1:1045 NW BOND ST
Mailing Address - Street 2:SUITE 211
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97701-2043
Mailing Address - Country:US
Mailing Address - Phone:541-610-7678
Mailing Address - Fax:541-362-2888
Practice Address - Street 1:1045 NW BOND ST
Practice Address - Street 2:SUITE 211
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97701-2043
Practice Address - Country:US
Practice Address - Phone:541-610-7678
Practice Address - Fax:541-362-2888
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-16
Last Update Date:2014-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR06-11-25251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health