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Organization

RIISA HUMPHREY

Active
Find providers by NPI
Organization

RIISA HUMPHREY

Active
Other names
Divine Mental Health and Wellness Counseling
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. RIISA LEA HUMPHREY MA, LPC, NCC (OWNER/THERAPIST)
(541) 505-2100
Entity
Organization

Contact information

Practice address
1142 WILLAGILLESPIE RD STE 22, EUGENE, OR 97401-6723
(541) 970-1970
Mailing address
1142 WILLAGILLESPIE RD STE 22, EUGENE, OR 97401-6723
(541) 970-1970
(458) 223-7265

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—

Other

Enumeration date
06/17/2024
Last updated
03/30/2026
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