Healthcare Provider Details

I. General information

NPI: 1104591122
Provider Name (Legal Business Name): STILL POINT COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2021
Last Update Date: 08/11/2021
Certification Date: 08/11/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2863 NW CROSSING DR STE 215
BEND OR
97703-7190
US

IV. Provider business mailing address

2863 NW CROSSING DR STE 215
BEND OR
97703-7190
US

V. Phone/Fax

Practice location:
  • Phone: 541-633-9824
  • Fax:
Mailing address:
  • Phone: 541-633-9824
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: BARRETT FLESH
Title or Position: OWNER
Credential: LPC
Phone: 541-633-9824