Healthcare Provider Details

I. General information

NPI: 1144860958
Provider Name (Legal Business Name): BE STILL AND GROW COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/09/2020
Last Update Date: 05/22/2025
Certification Date: 05/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1755 LOCKHAVEN DR NE # 505
KEIZER OR
97303-2071
US

IV. Provider business mailing address

1740 SHAFF RD STE 233
STAYTON OR
97383-1092
US

V. Phone/Fax

Practice location:
  • Phone: 503-851-8585
  • Fax:
Mailing address:
  • Phone: 503-851-8585
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: STEPHANIE HUSK
Title or Position: OWNER
Credential: LCSW
Phone: 503-851-8585