Organization
LIFE WORKS OF CENTRAL OREGON, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELIZABETH M CONWAY MS, LPC (LIFEWORKS OF CENTRAL OREGON, LLC PA)
(541) 382-8862
Entity
Organization
Contact information
Practice address
233 SW WILSON AVE, SUITE 201, BEND, OR 97702
(541) 382-8862
(541) 382-8928
Mailing address
233 SW WILSON AVE, SUITE 201, BEND, OR 97702
(541) 382-8862
(541) 382-8928
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
200950092NP
ID
101YM0800X
Mental Health Counselor
INTERN#R1135
OR
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
C1872
OR
103T00000X
Psychologist
1764
OR
103TA0400X
Addiction (Substance Use Disorder) Psychologist
1764
OR
103TC2200X
Clinical Child & Adolescent Psychologist
1764
OR
106H00000X
Marriage & Family Therapist
T0451
OR
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
000022752N6
OR
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
000022752N6
OR
Other
Enumeration date
03/08/2007
Last updated
08/01/2011
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