HEADWATERS THERAPY LLC - NPI 1538793591 - Marriage & Family Therapist in Eugene, OR

Q: What is Headwaters Therapy LLC's NPI number?

The NPI number for Headwaters Therapy LLC is 1538793591. It was assigned to this organization in the NPPES registry on February 28, 2020.

Q: What is Headwaters Therapy LLC's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

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About Headwaters Therapy Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEADWATERS THERAPY LLC (NPI 1538793591) is a healthcare organization registered as a marriage & family therapist in Eugene, Oregon and active in the NPI registry since February 2020. The organization lists Ryan S Smith, Licensed Marriage & Family Therapis, as its authorized official.

NPPES Registry Identity

NPI1538793591

Entity TypeOrganization

Primary Taxonomy106H00000X

Legal Business NameHEADWATERS THERAPY LLC

Location Address927 COUNTRY CLUB RD STE 200Eugene, OR 97401-2272

Mailing Address927 Country Club Rd Ste 200Eugene, OR 97401-2272 · (541) 604-8822 · Fax (541) 359-1134

Phone(541) 604-8822

Fax(541) 359-1134

Organization SubpartNo

Authorized OfficialRyan S SmithLicensed Marriage & Family Therapis · (541) 868-2004

Enumeration DateFebruary 28, 2020

Last NPPES UpdateJune 25, 20202 updates tracked since enumeration

NPPES CertifiedJune 25, 2020

✔ NPI 1538793591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

927 COUNTRY CLUB RD STE 200, Eugene, OR 97401

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOANN ZUMBRUNNEN LCSW

Social Worker (Clinical)