Provider Demographics
NPI:1184190811
Name:LIVING WELL COUNSELING INC.
Entity type:Organization
Organization Name:LIVING WELL COUNSELING INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:
Authorized Official - Last Name:TAPLETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:503-770-0448
Mailing Address - Street 1:PO BOX 472
Mailing Address - Street 2:
Mailing Address - City:GLADSTONE
Mailing Address - State:OR
Mailing Address - Zip Code:97027-0472
Mailing Address - Country:US
Mailing Address - Phone:503-770-0448
Mailing Address - Fax:
Practice Address - Street 1:9123 SE SAINT HELENS ST STE 165
Practice Address - Street 2:
Practice Address - City:CLACKAMAS
Practice Address - State:OR
Practice Address - Zip Code:97015-6801
Practice Address - Country:US
Practice Address - Phone:503-770-0448
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-20
Last Update Date:2018-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty