Provider Demographics
NPI:1447889266
Name:ART OF SELF
Entity type:Organization
Organization Name:ART OF SELF
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/LCSW
Authorized Official - Prefix:
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:AOIFE
Authorized Official - Last Name:EINRI
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:541-204-6291
Mailing Address - Street 1:PO BOX 51226
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97405-0904
Mailing Address - Country:US
Mailing Address - Phone:541-204-6291
Mailing Address - Fax:
Practice Address - Street 1:1075 WASHINGTON ST STE 110
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-3689
Practice Address - Country:US
Practice Address - Phone:541-204-6291
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-03
Last Update Date:2020-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty