Healthcare Provider Details

I. General information

NPI: 1447715834
Provider Name (Legal Business Name): ARISE COUNSELING SERVICE, LLC. DBA NORTHLIGHT COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/10/2019
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1075 WASHINGTON ST
EUGENE OR
97401-4606
US

IV. Provider business mailing address

1075 WASHINGTON ST
EUGENE OR
97401-4606
US

V. Phone/Fax

Practice location:
  • Phone: 541-321-2278
  • Fax: 541-246-8826
Mailing address:
  • Phone: 541-321-2278
  • Fax: 541-246-8826

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: HENRIETTA WILHELMINA KNOX
Title or Position: CEO
Credential: LCSW
Phone: 541-321-2278