Bean Bag Therapy
Organization Active NPI Mental Health Counselor · Fairview, OR
NPI 1275205379 · NPPES record last updated Sep 28, 2021
Key facts
- NPI
- 1275205379
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Legal business name
- BEAN BAG THERAPY
- Practice address
- 25 6TH St
Fairview, OR 97024-1941 - Phone
- (818) 579-2029
- NPI assigned
- Sep 28, 2021
- Organization subpart
- No
Authorized official
- Name
- Mrs. Lisa Peacock McLaughlin, LMFT
- Title
- Sole Proprietor/Only Member
- Phone
- (818) 579-2029
Practitioners 1
-
Lisa Peacock, LMFT
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | Yes |
Addresses
Primary practice location
25 6TH St
Fairview, OR 97024-1941
Mailing address
25 6TH St
Fairview, OR 97024-1941
Phone (818) 579-2029
Other providers in Fairview, OR
- Jose L Altig
- Jackeline Julia Alvarez Gamez
- Paul Azer
- Joy Baker
- Gina Barbera
- Emily Dawn Bergerson
- Maryssa Marie Birch
- Sarah Bourgeois
- Brian G Cox LCSW PC
- Melissa Brooks
All providers in Fairview, OR · Mental Health Counselor in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 28, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.