Healthcare Provider Details

I. General information

NPI: 1255406237
Provider Name (Legal Business Name): HEART STEPS COUNSELING SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/22/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 FIR STREET SUITE 321
LA GRANDE OR
97850-2663
US

IV. Provider business mailing address

105 FIR STREET SUITE 321
LA GRANDE OR
97850-2663
US

V. Phone/Fax

Practice location:
  • Phone: 541-963-4005
  • Fax: 541-663-8144
Mailing address:
  • Phone: 541-963-4005
  • Fax: 541-663-8144

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number StateOR
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number StateOR

VIII. Authorized Official

Name: MR. DAVID NOLE MUSGROVE
Title or Position: PRESIDENT DIRECTOR
Credential: BS CADCI
Phone: 541-963-4005