Provider Demographics
NPI:1821561580
Name:DESCHUTES COUNSELING LLC
Entity Type:Organization
Organization Name:DESCHUTES COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THEAPIST
Authorized Official - Prefix:
Authorized Official - First Name:GARY
Authorized Official - Middle Name:EUGENE
Authorized Official - Last Name:HUNTER
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LCSW
Authorized Official - Phone:541-513-0500
Mailing Address - Street 1:2190 NE PROFESSIONAL CT STE 250
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97701-6988
Mailing Address - Country:US
Mailing Address - Phone:541-221-6653
Mailing Address - Fax:541-385-6080
Practice Address - Street 1:2190 NE PROFESSIONAL CT STE 250
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97701-6988
Practice Address - Country:US
Practice Address - Phone:541-221-6653
Practice Address - Fax:541-385-6080
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-05
Last Update Date:2023-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty