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Active NPI 1275205379 Organization (Entity Type 2)

Bean Bag Therapy

Counselor - Mental Health • Fairview, OR

About Bean Bag Therapy NPI 1275205379 Summary

Bean Bag Therapy is a verified healthcare organization specializing in Counselor - Mental Health operating in Fairview, OR. Located at 25 6TH ST, this facility provides patient care and medical services under National Provider Identifier (NPI) 1275205379.

Administrative operations and authorized compliance are overseen by Lisa Mclaughlin (Sole Proprietor/Only Member).

Facility Location & Contact Primary Location

Facility Address

25 6th St

Fairview, OR 970241941

Telephone 8185792029

Authorized Official Information

Authorized Contact Name

MRS. Lisa Mclaughlin , LMFT

Title / Role

Sole Proprietor/only Member

Official Telephone

8185792029

Facility Classifications & Specialties

Counselor - Mental Health Primary Taxonomy

NUCC Taxonomy Code: 101YM0800X

Definition to come...

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events

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NPI Profile Active September 28, 2021

NPI status registered as active in NPPES database

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Updated Practice Location September 28, 2021

Registered at 25 6TH ST, FAIRVIEW, OR 970241941 (Tel: 8185792029)

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Updated Business Mailing Address September 28, 2021

Registered at 25 6TH ST, FAIRVIEW, OR 970241941 (Tel: 8185792029)

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Organization / Clinic Name Updated September 28, 2021

Operating as BEAN BAG THERAPY

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 28, 2021

Counselor

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Initial NPI Registration & Enumeration September 28, 2021

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

Verified patient ratings, healthcare experiences, and facility photos

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NPI Organization Metadata

NPI Number: 1275205379

Entity Type:

Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)

Enumeration Date: September 28, 2021

Last Update: September 28, 2021

Update or Correct Listing

Mailing Address

25 6th St

Fairview, OR 970241941

Phone: 8185792029

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.

⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.