Healthcare Provider Details

I. General information

NPI: 1891755195
Provider Name (Legal Business Name): STEPHANIE MILLER SEARS MA
Entity Type: Individual
Gender: Female
Sole Proprietor: X

Provider Other Name: MRS. STEPHANIE MILLER SEARS

II. Dates (important events)

Enumeration Date: 03/23/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

291 WEST 12TH AVE
EUGENE OR
97401-3409
US

IV. Provider business mailing address

2062 ADAMS ST
EUGENE OR
97405-2133
US

V. Phone/Fax

Practice location:
  • Phone: 541-343-4585
  • Fax: 541-338-9365
Mailing address:
  • Phone: 541-484-6509
  • Fax: 541-338-9365

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPCC0318
License Number StateOR
# 2
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPA5011
License Number StateOR
# 3
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLMFTT0155
License Number StateOR

VII. Legacy identifiers

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: