Healthcare Provider Details

I. General information

NPI: 1801424262
Provider Name (Legal Business Name): A HEALING PLACE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/31/2020
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

291 W 12TH AVE
EUGENE OR
97401-3409
US

IV. Provider business mailing address

480 DAVIS ST
EUGENE OR
97402-2326
US

V. Phone/Fax

Practice location:
  • Phone: 541-632-3992
  • Fax:
Mailing address:
  • Phone: 512-799-3692
  • Fax:

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: EMILY PYLE
Title or Position: OWNER
Credential: LPC
Phone: 512-799-3692