Mirror Pond Counseling Llc

LBN: Mirror Pond Counseling Llc
Mirror Pond Counseling Llc is an health care organization with primary practice located at 754 Nw Broadway St Ste 207 , Bend OR 97703-2776. The organization recently has 7 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Pastoral, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Family, Behavioral Health & Social Service Providers / Psychoanalysis, Behavioral Health & Social Service Providers / Group Psychotherapy, Ambulatory Health Care Facilities / Adult Mental Health. Behavioral Health & Social Service Providers / Counseling is the primary health care specialty. Mirror Pond Counseling Llc can be contacted via phone (541) 668-7558, or through Drew, Kimberly via phone (541) 668-7558.

Contact Information

Primary practice address
754 Nw Broadway St Ste 207 Bend OR 97703-2776
Phone: (541) 668-7558
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Drew, Kimberly MA, LPC
Phone: (541) 668-7558

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Pastoral 101YP1600X
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X
Behavioral Health & Social Service Providers / Counseling 103TC1900X
Behavioral Health & Social Service Providers / Family 103TF0000X
Behavioral Health & Social Service Providers / Psychoanalysis 103TP0814X
Behavioral Health & Social Service Providers / Group Psychotherapy 103TP2701X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X

Profile Details

NPI number 1811531262
LBN Legal business name Mirror Pond Counseling Llc
DBA Doing business as
Authorized official Drew, Kimberly MA, LPC
Entity Organization
Organization subpart 1 No
Enumeration date Oct 29th, 2019
Last updated Oct 29th, 2019 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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