Healthcare Provider Details
I. General information
NPI: 1104733906
Provider Name (Legal Business Name): CYNTHIA HEALEY COUNSELING & CONSULTATION
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1274 W 7TH AVE STE 202
EUGENE OR
97402-4523
US
IV. Provider business mailing address
1274 W 7TH AVE STE 202
EUGENE OR
97402-4523
US
V. Phone/Fax
- Phone: 541-799-0923
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103T00000X |
| Taxonomy | Psychologist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103TC1900X |
| Taxonomy | Counseling Psychologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
CYNTHIA
HEALEY
Title or Position: OWNER
Credential: PHD
Phone: 541-968-0902