- Practice location
- 1133 NW Wall St Ste 1, Bend, OR 97703-1976
- Phone
- 971-202-1927
- Fax
- —
- Last updated
- July 6, 2022
S Anandavalli is a Counselor, Mental Health based in Bend, OR. S Anandavalli practices in Bend, OR and has the professional credentials of PHD, LPCA, NCC, CCTP. The NPI Number for S Anandavalli is 1780317966 and holds a License No. R6591 (OR). The current practice location address for S Anandavalli is 1133 NW Wall St Ste 1, Bend, OR 97703-1976 and can be reached out via phone at 971-202-1927.
Provider Profile Details
- NPI Number
- 1780317966
- Provider Name
- S Anandavalli
- Credential
- PHD, LPCA, NCC, CCTP
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1133 NW Wall St Ste 1, Bend, OR 97703-1976
- Phone Number
- 971-202-1927
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- July 6, 2022
- Last Update Date
- July 6, 2022
- Certification Date
- June 29, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1133 NW Wall St Ste 1
Bend, OR 97703-1976 - City
- Bend
- State
- Oregon
- Zip
- 97703-1976
- Phone Number
- 971-202-1927
Provider Business Mailing Address Details
- Address
- 4698 NE Beaumead Ln
Hillsboro, OR 97124-6664 - City
- Hillsboro
- State
- OR
- Zip
- 97124-6664
- Phone Number
- 620-238-2984
License Information
- License Number
- R6591
- License State
- OR
- Taxonomy
- Counselor, Mental Health · 101YM0800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of S Anandavalli, PHD, LPCA, NCC, CCTP?
The NPI number of S Anandavalli, PHD, LPCA, NCC, CCTP is 1780317966. It was assigned on July 6, 2022 and is currently active in the NPPES registry.
What is the specialty of S Anandavalli, PHD, LPCA, NCC, CCTP?
S Anandavalli, PHD, LPCA, NCC, CCTP is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in OR under license number R6591.
Where does S Anandavalli, PHD, LPCA, NCC, CCTP practice?
The practice location is 1133 NW Wall St Ste 1, Bend, OR 97703-1976. The office can be reached at 971-202-1927 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1780317966 directly on the NPPES registry website.