Provider Demographics
NPI:1619581931
Name:WHALESONG COUNSELING
Entity Type:Organization
Organization Name:WHALESONG COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NOELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:FINGERSON
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:971-301-4666
Mailing Address - Street 1:1616 SW 36TH ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN CITY
Mailing Address - State:OR
Mailing Address - Zip Code:97367
Mailing Address - Country:US
Mailing Address - Phone:971-301-4666
Mailing Address - Fax:360-844-5184
Practice Address - Street 1:2728 NE HIGHWAY 101
Practice Address - Street 2:
Practice Address - City:LINCOLN CITY
Practice Address - State:OR
Practice Address - Zip Code:97367-4412
Practice Address - Country:US
Practice Address - Phone:971-301-4666
Practice Address - Fax:360-844-5184
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-03
Last Update Date:2020-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty