Provider Demographics
NPI:1578274825
Name:CAYANAN COUNSELING AND WELLNESS, LLC
Entity Type:Organization
Organization Name:CAYANAN COUNSELING AND WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VALENTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:PISHCHANSKAYA-CAYANAN
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:503-908-9951
Mailing Address - Street 1:10117 SE SUNNYSIDE RD STE F
Mailing Address - Street 2:#1180
Mailing Address - City:CLACKAMAS
Mailing Address - State:OR
Mailing Address - Zip Code:97015-7708
Mailing Address - Country:US
Mailing Address - Phone:503-908-9951
Mailing Address - Fax:
Practice Address - Street 1:2355 STATE STREET
Practice Address - Street 2:SUITE 101
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97301
Practice Address - Country:US
Practice Address - Phone:503-908-9951
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-07
Last Update Date:2023-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty