Provider Demographics
NPI:1568039790
Name:AUDREY LIPSKEY COUNSELING
Entity Type:Organization
Organization Name:AUDREY LIPSKEY COUNSELING
Other - Org Name:AUDREY LIPSKEY COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:LCSW/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AUDREY
Authorized Official - Middle Name:
Authorized Official - Last Name:LIPSKEY
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:458-836-8288
Mailing Address - Street 1:124 SW 8TH ST
Mailing Address - Street 2:
Mailing Address - City:REDMOND
Mailing Address - State:OR
Mailing Address - Zip Code:97756-2114
Mailing Address - Country:US
Mailing Address - Phone:458-836-8288
Mailing Address - Fax:
Practice Address - Street 1:124 SW 8TH ST
Practice Address - Street 2:
Practice Address - City:REDMOND
Practice Address - State:OR
Practice Address - Zip Code:97756-2114
Practice Address - Country:US
Practice Address - Phone:541-279-7900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-07
Last Update Date:2022-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR500737774Medicaid