Healthcare Provider Details

I. General information

NPI: 1609412535
Provider Name (Legal Business Name): EK COUNSELING CONSULTING AND TRAINING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/26/2019
Last Update Date: 10/09/2023
Certification Date: 10/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3525 HILYARD ST
EUGENE OR
97405-3866
US

IV. Provider business mailing address

PO BOX 71093
SPRINGFIELD OR
97475-0182
US

V. Phone/Fax

Practice location:
  • Phone: 541-871-9050
  • Fax:
Mailing address:
  • Phone: 541-871-9050
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier500772657
Identifier TypeMEDICAID
Identifier StateOR
Identifier Issuer

VIII. Authorized Official

Name: ERIN JEAN WOLFF
Title or Position: OWNER/PROVIDER
Credential: LMFT
Phone: 541-871-9050