Healthcare Provider Details

I. General information

NPI: 1144184714
Provider Name (Legal Business Name): ABIDE COUNSELING SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/09/2025
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2620 RIVER RD STE E
EUGENE OR
97404-5013
US

IV. Provider business mailing address

2620 RIVER RD STE E
EUGENE OR
97404-5013
US

V. Phone/Fax

Practice location:
  • Phone: 541-203-0720
  • Fax:
Mailing address:
  • Phone: 541-203-0720
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MRS. ALISSA PRIEB
Title or Position: BUSINESS OWNER
Credential:
Phone: 505-301-7506