Provider Demographics
NPI:1609412535
Name:EK COUNSELING CONSULTING AND TRAINING LLC
Entity Type:Organization
Organization Name:EK COUNSELING CONSULTING AND TRAINING LLC
Other - Org Name:SPRINGFIELD COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:WOLFF
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:541-871-9050
Mailing Address - Street 1:PO BOX 71093
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:OR
Mailing Address - Zip Code:97475-0182
Mailing Address - Country:US
Mailing Address - Phone:541-871-9050
Mailing Address - Fax:
Practice Address - Street 1:3525 HILYARD ST
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97405-3866
Practice Address - Country:US
Practice Address - Phone:541-871-9050
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-26
Last Update Date:2023-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR500772657Medicaid