OrganizationActive
Community Life Counseling Solutions, LLC
NPI 1982387593 · Mental Health Counselor · Independence, OR
Provider details
- NPI number
- 1982387593
- Entity type
- Organization
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Michael Lee, Program Director(541) 633-7032
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
154 S Main St
Independence, OR 97351-2005
Phone: (541) 633-7032
Approximate (ZIP-level) locationGet directions
Mailing address
1050 Crater Lake Ave Ste a
Medford, OR 97504-6223
Additional practice locations (1)
- 537 Catron St N Unit 2Monmouth, OR 97361-1599Phone: (541) 231-0929
Registry dates
- Enumerated
- 2023-08-10
- Last updated
- 2023-08-10
- Certified
- 2023-08-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.