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NPI 1720934896

OrganizationActive

Audacious Living Therapy LLC

NPI 1720934896 · Community/Behavioral Health Agency · Eugene, OR

Provider details

NPI number: 1720934896
Entity type: Organization
Primary specialty: Community/Behavioral Health AgencyAgencies
Authorized official: Morgan Wardwell, Owner

Practice location

258 E 10th Ave

Eugene, OR 97401-3255

Phone: (542) 913-1153

More OR providers

Mailing address

32316 Goddard Ln

Cottage Grove, OR 97424-9325

Registry dates

Enumerated: 2026-03-10
Last updated: 2026-03-10

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Audacious Living Therapy LLC — NPI 1720934896, Eugene, OR | NPI Central