Healthcare Provider Details

I. General information

NPI: 1316867419
Provider Name (Legal Business Name): LAUREN SLETTA, LPC, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2026
Last Update Date: 07/17/2026
Certification Date: 07/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

260 SW MADISON AVE STE 104-3
CORVALLIS OR
97333-4798
US

IV. Provider business mailing address

260 SW MADISON AVE STE 104-3
CORVALLIS OR
97333-4798
US

V. Phone/Fax

Practice location:
  • Phone: 541-203-3848
  • Fax: 541-203-3211
Mailing address:
  • Phone: 541-203-3848
  • Fax: 541-203-3211

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: LAUREN SLETTA
Title or Position: OWNER
Credential: LPC
Phone: 541-203-3848