Provider Demographics
NPI:1760053219
Name:ORCHARD COUNSELING, LLC
Entity Type:Organization
Organization Name:ORCHARD COUNSELING, LLC
Other - Org Name:BEN GOOCH, LCMHC, PLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CLINICAL MENTAL HEALTH COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:MITCHELL
Authorized Official - Middle Name:
Authorized Official - Last Name:GOOCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:503-269-4979
Mailing Address - Street 1:2580 CHUCKANUT ST
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97408-7327
Mailing Address - Country:US
Mailing Address - Phone:503-269-4979
Mailing Address - Fax:
Practice Address - Street 1:2580 CHUCKANUT ST
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97408-7327
Practice Address - Country:US
Practice Address - Phone:503-269-4979
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-06
Last Update Date:2023-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty