IndividualActive
Brandon Overstreet, LPN
NPI 1770158495 · Mental Health Counselor · Phoenix, OR
Provider details
- NPI number
- 1770158495
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- LPN
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
149 S Main St
Phoenix, OR 97535-6631
Phone: (154) 153-5413
Approximate (ZIP-level) locationGet directions
Mailing address
135 Meadow Slope Dr
Talent, OR 97540-8693
Registry dates
- Enumerated
- 2021-05-25
- Last updated
- 2021-05-25
- Certified
- 2021-05-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.