# RIVER CREST COUNSELING

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

## Provider details

- **NPI number:** 1215621669
- **Authorized official:** KATRYN HALEY-LITTLE LCSW, LICSW (OWNER)
- **Authorized official phone:** (508) 813-6261

## Contact information

- **Practice address:** 354 NE GREENWOOD AVE STE 210, BEND, OR 97701-4632
- **Practice address phone:** (541) 209-0678
- **Mailing address:** 244 SE VICKIE CT, BEND, OR 97702-1815
- **Mailing address phone:** (508) 813-6261

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 06/07/2023
- **Last updated:** 10/27/2023