Organization
MENDING WATERS COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN PRICE (OWNER)
(541) 241-2105
Entity
Organization
Contact information
Practice address
21850 HIGHWAY 62 # 200, SHADY COVE, OR 97539-8715
(541) 241-2105
Mailing address
PO BOX 1463, SHADY COVE, OR 97539-1463
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
07/15/2026
Last updated
07/15/2026
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