# VALHALLA MENTAL HEALTH GROUP, LLC

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

## Provider details

- **NPI number:** 1972297877
- **Authorized official:** MICHAEL LONG LMFT (OPERATOR)
- **Authorized official phone:** (541) 213-7755

## Contact information

- **Practice address:** 2955 N HWY 97 \# 206, BEND, OR 97703-7559
- **Practice address phone:** (541) 213-7755
- **Practice address fax:** (866) 497-3686
- **Mailing address:** 2955 N HWY 97 \# 206, BEND, OR 97703-7559
- **Mailing address phone:** (541) 213-7755
- **Mailing address fax:** (866) 497-3686

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 103K00000X | Behavior Analyst | — | NULL | — |
| 103K00000X | Behavior Analyst | — | — | — |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |
| 171400000X | Health & Wellness Coach | — | NULL | — |
| 171400000X | Health & Wellness Coach | — | — | — |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | — |
| 171M00000X | Case Manager/Care Coordinator | — | — | — |

## Other

- **Enumeration date:** 06/05/2023
- **Last updated:** 01/06/2026
