LIESL FARNSWORTH, PHD, LPC
NPI 1861034951
Counselor - Mental Health in Bend, OR
Active since October 10, 2019
About Liesl Farnsworth, Phd, Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LIESL FARNSWORTH, PHD, LPC (NPI 1861034951) is a healthcare organization registered as a mental health in Bend, Oregon and active in the NPI registry since October 2019. The organization lists Liesl Farnsworth, Owner, as its authorized official.
NPPES Registry Identity
NPI1861034951
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameLIESL FARNSWORTH, PHD, LPC
Location Address552 NW SAGINAW AVE # 2Bend, OR 97703-1120
Mailing Address552 Nw Saginaw Ave # 2Bend, OR 97703-1120 · (541) 388-1261 · Fax (541) 306-4577
Phone(541) 388-1261
Organization SubpartNo
Authorized OfficialLiesl FarnsworthOwner · (541) 388-1261
Enumeration DateOctober 10, 2019
Last NPPES UpdateMay 7, 20212 updates tracked since enumeration
NPPES CertifiedMay 7, 2021
✔ NPI 1861034951 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 2
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X
552 NW SAGINAW AVE # 2, Bend, OR 97703
Other Names 1
Doing Business AsLiesl Farnsworth, Phd, Lpc
Group Practice 1
Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Other Providers at the Same Location NPPES
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 1861034951, enumerated as an "organization" on October 10, 2019.
The provider is located at 552 NW SAGINAW AVE # 2 BEND, OR 97703 and the phone number is (541) 388-1261.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.