Provider Demographics
NPI:1821561580
Name:DESCHUTES COUNSELING LLC
Entity type:Organization
Organization Name:DESCHUTES COUNSELING LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:LAURIE
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:HUNTER
Authorized Official - Suffix:
Authorized Official - Credentials:DBH, LPC
Authorized Official - Phone:541-221-6653
Mailing Address - Street 1:1550 NE WILLIAMSON BLVD STE 110
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97701-6091
Mailing Address - Country:US
Mailing Address - Phone:541-221-6653
Mailing Address - Fax:541-385-6080
Practice Address - Street 1:1550 NE WILLIAMSON BLVD STE 110
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97701-6091
Practice Address - Country:US
Practice Address - Phone:541-221-6653
Practice Address - Fax:541-385-6080
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DESCHUTES COUNSELING LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-01-05
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)Group - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR500777887Medicaid