Healthcare Provider Details

I. General information

NPI: 1861195083
Provider Name (Legal Business Name): NEUVOA COUNSELING & ASSOCIATES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/24/2023
Last Update Date: 06/05/2023
Certification Date: 06/05/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

450 COUNTRY CLUB RD STE 307
EUGENE OR
97401-6131
US

IV. Provider business mailing address

450 COUNTRY CLUB RD STE 307
EUGENE OR
97401-6131
US

V. Phone/Fax

Practice location:
  • Phone: 541-704-7614
  • Fax: 844-579-0077
Mailing address:
  • Phone: 541-704-7614
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. CORRINA A. FALKENSTEIN
Title or Position: CO-OWNER, CO-DIRECTOR
Credential: PHD
Phone: 541-520-0665