Healthcare Provider Details

I. General information

NPI: 1134877277
Provider Name (Legal Business Name): TESSA BRIGHT LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/17/2022
Last Update Date: 03/13/2026
Certification Date: 03/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2218 BLUE HERON LN
EUGENE OR
97402-1362
US

IV. Provider business mailing address

2218 BLUE HERON LN
EUGENE OR
97402-1362
US

V. Phone/Fax

Practice location:
  • Phone: 458-210-7514
  • Fax:
Mailing address:
  • Phone: 458-210-7514
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberC10734
License Number StateOR
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: