Individual
ATHENA K HEDGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFT, QMHPC
Contact information
Practice address
850 SW 4TH ST, MADRAS, OR 97741-9628
(541) 475-6575
Mailing address
PO BOX 1710, REDMOND, OR 97756-0516
(541) 475-6575
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
21-QMHP-R-0512
OR
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
22-QMHPC-001176
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22-QMHPC-001176
QMHPC
OR
Enumeration date
05/03/2016
Last updated
05/26/2025
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