Healthcare Provider Details

I. General information

NPI: 1346024387
Provider Name (Legal Business Name): CONACHY & CHANG COUNSELING SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2023
Last Update Date: 09/23/2025
Certification Date: 09/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

542 WASHINGTON ST STE 203
ASHLAND OR
97520-1951
US

IV. Provider business mailing address

PO BOX 2022
WHITE CITY OR
97503-0022
US

V. Phone/Fax

Practice location:
  • Phone: 541-621-4245
  • Fax:
Mailing address:
  • Phone: 541-621-4245
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: DR. VICTOR Y CHANG
Title or Position: CO-OWNER/CLINICIAN
Credential: PH.D
Phone: 541-621-4245