Healthcare Provider Details

I. General information

NPI: 1205561776
Provider Name (Legal Business Name): TOTAL BEING COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/19/2022
Last Update Date: 01/04/2023
Certification Date: 01/04/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

139 W 2ND AVE STE 4
CANNON BEACH OR
97110-2072
US

IV. Provider business mailing address

89121 PINEHURST RD
GEARHART OR
97138-7365
US

V. Phone/Fax

Practice location:
  • Phone: 503-440-0046
  • Fax: 503-717-6519
Mailing address:
  • Phone: 503-440-0046
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: TIMOTHY RICHARD SCHENDEL
Title or Position: OWNER/THERAPIST
Credential: LCSW
Phone: 503-440-0046