Healthcare Provider Details

I. General information

NPI: 1760308324
Provider Name (Legal Business Name): BECIC COUNSELING SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/27/2026
Last Update Date: 06/27/2026
Certification Date: 06/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2596 N STOKESBERRY PL
MERIDIAN ID
83646-6114
US

IV. Provider business mailing address

5905 N BRIGHTON AVE
GARDEN CITY ID
83714-1238
US

V. Phone/Fax

Practice location:
  • Phone: 503-304-7315
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: MELANIE BECIC
Title or Position: SOLE MEMBER
Credential:
Phone: 503-347-2242