Healthcare Provider Details
I. General information
NPI: 1821921966
Provider Name (Legal Business Name): LMK COUNSELING AND TREATMENT SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/08/2026
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
150 SW 4TH ST
REDMOND OR
97756-1838
US
IV. Provider business mailing address
150 SW 4TH ST
REDMOND OR
97756-1838
US
V. Phone/Fax
- Phone: 458-899-4769
- Fax: 541-527-4458
- Phone: 458-899-4769
- Fax: 541-527-4458
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MANDEE RAY
AWMILLER
Title or Position: OWNER
Credential: LCSW
Phone: 458-899-4769