Provider Demographics
NPI:1255928784
Name:PRINE COUNSELING, LLC
Entity type:Organization
Organization Name:PRINE COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LCSW
Authorized Official - Prefix:MRS
Authorized Official - First Name:JANYCE
Authorized Official - Middle Name:
Authorized Official - Last Name:PRINE
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:541-229-7593
Mailing Address - Street 1:160 BARKER RD
Mailing Address - Street 2:
Mailing Address - City:OREGON CITY
Mailing Address - State:OR
Mailing Address - Zip Code:97045-3426
Mailing Address - Country:US
Mailing Address - Phone:541-725-6182
Mailing Address - Fax:541-229-1272
Practice Address - Street 1:18801 SW MARTINAZZI AVE STE 200
Practice Address - Street 2:
Practice Address - City:TUALATIN
Practice Address - State:OR
Practice Address - Zip Code:97062-6899
Practice Address - Country:US
Practice Address - Phone:541-725-6182
Practice Address - Fax:541-229-1272
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-30
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health