# EMBERLEAF COLLECTIVE, LLC

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

## Provider details

- **NPI number:** 1306737416
- **Authorized official:** CELESTE LONSBERY LPC (SOLE MEMBER)
- **Authorized official phone:** (541) 299-2350

## Contact information

- **Practice address:** 629 KINGS CT, CENTRAL POINT, OR 97502-2122
- **Practice address phone:** (541) 209-6619
- **Mailing address:** PO BOX 5109, CENTRAL POINT, OR 97502-0045
- **Mailing address phone:** (541) 209-6619
- **Mailing address fax:** (541) 704-7209

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 07/15/2025
- **Last updated:** 07/15/2025