South Valley Therapy, Llc

LBN: South Valley Therapy, Llc
South Valley Therapy, Llc is an health care organization with primary practice located at 1991 Garden Ave , Eugene OR 97403-1934. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as the primary health care specialty. South Valley Therapy, Llc can be contacted via phone (541) 525-1010, or through Costley, Davide J via phone (541) 525-1010.

Contact Information

Primary practice address
1991 Garden Ave Eugene OR 97403-1934
Phone: (541) 525-1010
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Costley, Davide J Licensed Professional Counselor (LPC)
Phone: (541) 525-1010

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X

Profile Details

NPI number 1841807484
LBN Legal business name South Valley Therapy, Llc
DBA Doing business as
Authorized official Costley, Davide J Licensed Professional Counselor (LPC)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 28th, 2020
Last updated Sep 28th, 2020 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1841807484 NPPES
Oregon MEDICAID 500662974

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