Provider Demographics
NPI:1437913258
Name:OAK VALLEY COUNSELING
Entity type:Organization
Organization Name:OAK VALLEY COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AMIN SUPPORT SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:EMMA
Authorized Official - Middle Name:L
Authorized Official - Last Name:LIME
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC
Authorized Official - Phone:503-308-1301
Mailing Address - Street 1:880 LIBERTY ST NE STE 103
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97301-2450
Mailing Address - Country:US
Mailing Address - Phone:503-991-2494
Mailing Address - Fax:
Practice Address - Street 1:880 LIBERTY ST NE STE 103
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97301-2450
Practice Address - Country:US
Practice Address - Phone:503-991-2494
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-12
Last Update Date:2024-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty