Healthcare Provider Details

I. General information

NPI: 1184487019
Provider Name (Legal Business Name): JENNIFER LUDWIG LMFT, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/02/2024
Last Update Date: 08/12/2025
Certification Date: 08/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3575 DONALD ST STE 670
EUGENE OR
97405-4784
US

IV. Provider business mailing address

1193 PEARL ST
EUGENE OR
97401-3521
US

V. Phone/Fax

Practice location:
  • Phone: 541-321-0673
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER LUDWIG
Title or Position: OWNER/MANAGER
Credential:
Phone: 541-321-0673