Provider Demographics
NPI:1578288932
Name:THE COUNSELING PLACE LLC
Entity Type:Organization
Organization Name:THE COUNSELING PLACE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KRISTEN
Authorized Official - Middle Name:MICHELLE SWANGER
Authorized Official - Last Name:TOST
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC
Authorized Official - Phone:541-760-9120
Mailing Address - Street 1:699 SW 15TH ST STE 1461
Mailing Address - Street 2:
Mailing Address - City:CORVALLIS
Mailing Address - State:OR
Mailing Address - Zip Code:97333-4840
Mailing Address - Country:US
Mailing Address - Phone:541-250-0312
Mailing Address - Fax:
Practice Address - Street 1:699 SW 15TH ST STE 1461
Practice Address - Street 2:
Practice Address - City:CORVALLIS
Practice Address - State:OR
Practice Address - Zip Code:97333-4840
Practice Address - Country:US
Practice Address - Phone:541-250-0312
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-07
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty