Bean Bag Therapy
Counselor, Mental Health in Fairview, OR. Organization (NPI-2).
NPI number1275205379
StatusActive
Last updated in NPPESSep 28, 2021
Details
- NPI
- 1275205379
- Entity type
- Organization (NPI-2)
- Legal business name
- Bean Bag Therapy
- Organization subpart
- No
- Enumeration date
- Sep 28, 2021
- Certification date
- Sep 28, 2021
- Last updated
- Sep 28, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
25 6th StFairview, OR 97024-1941
Phone 818-579-2029
Mailing address
25 6th StFairview, OR 97024-1941
Phone 818-579-2029
Authorized official
Lisa Peacock McLaughlin
Sole Proprietor/Only Member
8185792029
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