LACEY BENDELL
NPI 1386008415
Counselor - Addiction (Substance Use Disorder) in Grants Pass, OR
Active since April 05, 2016
About Lacey Bendell NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LACEY BENDELL (NPI 1386008415) is an individual addiction (substance use disorder) provider in Grants Pass, Oregon and active in the NPI registry since April 2016. She maintains a secondary practice location in Medford.
NPPES Registry Identity
NPI1386008415
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameLACEY BENDELL
Location Address1215 SW G STGrants Pass, OR 97526-2544
Mailing Address1215 Sw G StGrants Pass, OR 97526-2544 · (541) 476-2373
Phone(541) 476-2373
Sole ProprietorNo
Enumeration DateApril 5, 2016
Last NPPES UpdateApril 5, 20193 updates tracked since enumeration
✔ NPI 1386008415 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 2
★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
1215 SW G ST, Grants Pass, OR 97526
Secondary Practice Location 1
Location 1300 W Main StMedford, OR 97501-2756 · Phone (541) 772-1777 · Fax (541) 734-2410
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1386008415, enumerated as an "individual" on April 05, 2016.
The provider is located at 1215 SW G ST GRANTS PASS, OR 97526 and the phone number is (541) 476-2373.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).