Healthcare Provider Details

I. General information

NPI: 1184421042
Provider Name (Legal Business Name): COMMUNITY COUNSELING SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2025
Last Update Date: 02/27/2025
Certification Date: 02/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2583 WESTGATE
PENDLETON OR
97801-9613
US

IV. Provider business mailing address

PO BOX 469
HEPPNER OR
97836-0469
US

V. Phone/Fax

Practice location:
  • Phone: 541-276-6330
  • Fax:
Mailing address:
  • Phone: 541-676-9161
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code323P00000X
TaxonomyPsychiatric Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: LINSEY HANNA
Title or Position: BUSINESS OPERATIONS MANAGER
Credential:
Phone: 541-676-9161