MEDICARE: MINDFUL GROWTH COLLECTIVE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1205799483
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MINDFUL GROWTH COLLECTIVE LLC

Provider Business Mailing Address
First Line	:	410 OAK ST
Second Line	:
City	:	PHOENIX
State	:	OR
Zip	:	97535-0046
Country	:	US
Telephone Number	:	541-499-1698
Fax Number	:

Provider Business Practice Location Address
First Line	:	410 OAK ST
Second Line	:
City	:	PHOENIX
State	:	OR
Zip	:	97535-0046
Country	:	US
Telephone Number	:	541-499-1698
Fax Number	:

Authorized Official
Title or Position	:	OWNER - THERAPIST
Name	:	STEVEN MILLER
Credential	:	LPC
Telephone Number	:	541-499-1698

Provider Enumeration Date	:	12/04/2025
Last Update Date	:	12/09/2025

Similar Medicare Providers

1548782444 — STEVEN MILLER
Practice Location Address:

410 OAK ST
PHOENIX, OR
97535-0046

Practice Phone: 541-414-6989
Practice Fax:

1841299393 — DR. PAUL GEORGE JENDRE D.O.
Practice Location Address:

205 FERN VALLEY RD STE A
PHOENIX, OR
97535-9100

Practice Phone: 541-535-1274
Practice Fax: 541-535-6973

1063495596 — PHOENIX DOWNTOWN PHARMACY LLC
Practice Location Address:

404 N MAIN ST
PHOENIX, OR
97535-9632

Practice Phone: 541-535-1561
Practice Fax: 541-535-3015

1326136409 — NAOMI KATZ OTR
Practice Location Address:

158 SHARON DR
PHOENIX, OR
97535-5713

Practice Phone: 541-608-0464
Practice Fax: 541-535-5593

1437230521 — DR. JAMIE ROBIN WHITE DMD
Practice Location Address:

205 N PHOENIX RD STE 410
PHOENIX, OR
97535-9104

Practice Phone: 541-535-4142
Practice Fax: 541-535-3415

1306920087 — MR. ERIC SETH WEBB MD
Practice Location Address:

205 FERN VALLEY RD STE A
PHOENIX, OR
97535-9100

Practice Phone: 541-535-1274
Practice Fax: 541-535-6973

Directions to “MINDFUL GROWTH COLLECTIVE LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.