Organization
ELEMENTS OF HOPE AND HEALING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA HANSON THIELMAN LPC (CEO / FOUNDER)
(541) 270-0434
Entity
Organization
Contact information
Practice address
22 N 8TH ST, COTTAGE GROVE, OR 97424-2025
(541) 270-0434
Mailing address
34392 GAROUTTE RD, COTTAGE GROVE, OR 97424-8538
(541) 270-0434
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
08/07/2023
Last updated
08/07/2023
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