MEDICARE: DESCHUTES COUNSELING 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	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)
2	101YM0800X	Mental Health Counselor

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1821561580
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DESCHUTES COUNSELING LLC

Provider Business Mailing Address
First Line	:	1550 NE WILLIAMSON BLVD STE 110
Second Line	:
City	:	BEND
State	:	OR
Zip	:	97701-6091
Country	:	US
Telephone Number	:	541-221-6653
Fax Number	:	541-385-6080

Provider Business Practice Location Address
First Line	:	1550 NE WILLIAMSON BLVD STE 110
Second Line	:
City	:	BEND
State	:	OR
Zip	:	97701-6091
Country	:	US
Telephone Number	:	541-221-6653
Fax Number	:	541-385-6080

Authorized Official
Title or Position	:	OWNER/THERAPIST
Name	:	DR. LAURIE ANNE HUNTER
Credential	:	DBH, LPC
Telephone Number	:	541-221-6653

Provider Enumeration Date	:	01/05/2019
Last Update Date	:	02/04/2025

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Directions to “DESCHUTES COUNSELING LLC ” Practice Location

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