Provider Demographics
NPI:1447829668
Name:HEALING PATHWAYS OF EUGENE LLC
Entity type:Organization
Organization Name:HEALING PATHWAYS OF EUGENE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALLISON
Authorized Official - Middle Name:
Authorized Official - Last Name:SINCLAIR
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:458-253-9743
Mailing Address - Street 1:1165 PEARL ST STE 11&12
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401-3521
Mailing Address - Country:US
Mailing Address - Phone:458-253-9743
Mailing Address - Fax:
Practice Address - Street 1:1165 PEARL ST STE 11&12
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-3521
Practice Address - Country:US
Practice Address - Phone:458-253-9743
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-22
Last Update Date:2021-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty