# MADRONE MENTAL HEALTH SERVICES, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124400908
- **Authorized official:** DR. BRADLEY P COHN PHD (CO-DIRECTOR)
- **Authorized official phone:** (541) 210-8090

## Contact information

- **Practice address:** 150 SHELTON MCMURPHEY BLVD STE 101, EUGENE, OR 97401-5015
- **Practice address phone:** (541) 210-8090
- **Mailing address:** 150 SHELTON MCMURPHEY BLVD, STE 101, EUGENE, OR 97401-5015

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | L6505 | OR | Yes |

## Other

- **Enumeration date:** 06/29/2015
- **Last updated:** 09/01/2015