Provider Demographics
NPI:1912189978
Name:DISCOVERY COUNSELING, INC.
Entity Type:Organization
Organization Name:DISCOVERY COUNSELING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:SHERI
Authorized Official - Middle Name:M
Authorized Official - Last Name:CREW
Authorized Official - Suffix:
Authorized Official - Credentials:BS, CADCI
Authorized Official - Phone:541-574-9050
Mailing Address - Street 1:1666 N COAST HWY
Mailing Address - Street 2:
Mailing Address - City:NEWPORT
Mailing Address - State:OR
Mailing Address - Zip Code:97365-2357
Mailing Address - Country:US
Mailing Address - Phone:541-574-9050
Mailing Address - Fax:541-574-9052
Practice Address - Street 1:1666 N COAST HWY
Practice Address - Street 2:
Practice Address - City:NEWPORT
Practice Address - State:OR
Practice Address - Zip Code:97365-2357
Practice Address - Country:US
Practice Address - Phone:541-574-9050
Practice Address - Fax:541-574-9052
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-02
Last Update Date:2010-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health