Healthcare Provider Details

I. General information

NPI: 1932038098
Provider Name (Legal Business Name): TAP COUNSELING AND WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2026
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

231 SW SCALEHOUSE LOOP STE 202
BEND OR
97702-1277
US

IV. Provider business mailing address

231 SW SCALEHOUSE LOOP STE 202
BEND OR
97702-1277
US

V. Phone/Fax

Practice location:
  • Phone: 747-222-2452
  • Fax:
Mailing address:
  • Phone: 747-222-2452
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: ALYSIA MCLAIN
Title or Position: OWNER
Credential: LCSW
Phone: 747-222-2452