Healthcare Provider Details

I. General information

NPI: 1851376669
Provider Name (Legal Business Name): TM COUNSELING & CONSULTING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/14/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

920 SW FRAZER SUITE #214
PENDLETON OR
97801
US

IV. Provider business mailing address

920 SW FRAZER SUITE #214
PENDLETON OR
97801
US

V. Phone/Fax

Practice location:
  • Phone: 541-276-1022
  • Fax: 541-966-9130
Mailing address:
  • Phone: 541-276-1022
  • Fax: 541-966-9130

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License NumberCADCII 001147
License Number StateOR
# 3
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License NumberNCACI013814
License Number StateOR

VIII. Authorized Official

Name: MS. TARA MAHONEY
Title or Position: OWNER PROGRAM DIRECTOR
Credential: CADC II NCAC I
Phone: 541-276-1022