Healthcare Provider Details

I. General information

NPI: 1225613425
Provider Name (Legal Business Name): ENRICH THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/10/2021
Last Update Date: 03/10/2021
Certification Date: 03/10/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

920 SW FRAZER AVE STE 102
PENDLETON OR
97801-2800
US

IV. Provider business mailing address

920 SW FRAZER AVE STE 102
PENDLETON OR
97801-2800
US

V. Phone/Fax

Practice location:
  • Phone: 971-308-4587
  • Fax: 971-220-9883
Mailing address:
  • Phone: 971-308-4587
  • Fax: 971-220-9883

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: RICHARD SEIGLER
Title or Position: PRESIDENT
Credential: LMFT
Phone: 971-308-4587