Healthcare Provider Details

I. General information

NPI: 1053227561
Provider Name (Legal Business Name): ALL WHO WANDER COUNSELING AND THERAPEUTIC SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1620 MCPHERSON ST
NORTH BEND OR
97459-3518
US

IV. Provider business mailing address

8919 ECLIPSE ST UNIT B
EL PASO TX
79904-1128
US

V. Phone/Fax

Practice location:
  • Phone: 541-696-3454
  • Fax:
Mailing address:
  • Phone: 541-696-3454
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MEGAN CARR
Title or Position: OWNER
Credential: LPC
Phone: 541-696-3454