Healthcare Provider Details

I. General information

NPI: 1891595831
Provider Name (Legal Business Name): RAASHANAI'S HOPE NEUROFEEDBACK AND COUNSELING CENTER FOR CHILDREN AND FAMILIES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/18/2025
Last Update Date: 09/23/2025
Certification Date: 09/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

935 CHURCH ST W STE G
MONMOUTH OR
97361-9789
US

IV. Provider business mailing address

14908 FERNS CORNER RD
MONMOUTH OR
97361-9707
US

V. Phone/Fax

Practice location:
  • Phone: 458-262-8344
  • Fax:
Mailing address:
  • Phone: 458-262-8344
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: MELINDA YVONNE NORTH
Title or Position: OWNER
Credential: LPC
Phone: 458-262-8344