Healthcare Provider Details

I. General information

NPI: 1235253204
Provider Name (Legal Business Name): MARCIA M OVERSTREET MS, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/16/2007
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

70 HILLENDALE DR
ASHLAND OR
97520-9508
US

IV. Provider business mailing address

70 HILLENDALE DR
ASHLAND OR
97520-9508
US

V. Phone/Fax

Practice location:
  • Phone: 541-944-9019
  • Fax: 541-708-0552
Mailing address:
  • Phone: 541-944-9019
  • Fax: 541-708-0552

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberC1733
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: