=====================================================
General NPI Number Information
=====================================================
NPI Number | 1134711831
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | AKINDRED HEALING, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/04/2021
-----------------------------------------------------
Last Update Date | 03/26/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 370 E 46TH AVE
-----------------------------------------------------
City | EUGENE
-----------------------------------------------------
State | OR
-----------------------------------------------------
Zip | 97405-3421
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 707-478-2448
-----------------------------------------------------
Fax | 541-600-4714
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 50592
-----------------------------------------------------
City | EUGENE
-----------------------------------------------------
State | OR
-----------------------------------------------------
Zip | 97405-0985
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 707-478-2448
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | THERAPIST/OWNER
-----------------------------------------------------
Name | ARIEL YABEK
-----------------------------------------------------
Credential | LMFT
-----------------------------------------------------
Telephone | 707-478-2448
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 106H00000X
-----------------------------------------------------
Taxonomy Name | Marriage & Family Therapist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------