Healthcare Provider Details

I. General information

NPI: 1891658852
Provider Name (Legal Business Name): SYNERGY COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/06/2025
Last Update Date: 12/06/2025
Certification Date: 12/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11950 SW 2ND ST STE 200A
BEAVERTON OR
97005-8923
US

IV. Provider business mailing address

11950 SW 2ND ST STE 200A
BEAVERTON OR
97005-8923
US

V. Phone/Fax

Practice location:
  • Phone: 971-238-8241
  • Fax:
Mailing address:
  • Phone: 971-238-8241
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name: MR. LUIS DAVID CAPESTANY
Title or Position: OWNER
Credential: LPC
Phone: 971-294-7197