Organization
RIISA HUMPHREY
Active
Other names
Divine Mental Health and Wellness Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RIISA LEA HUMPHREY MA, LPC, NCC (OWNER/THERAPIST)
(541) 505-2100
Entity
Organization
Contact information
Practice address
1142 WILLAGILLESPIE RD STE 22, EUGENE, OR 97401-6723
(541) 970-1970
Mailing address
1142 WILLAGILLESPIE RD STE 22, EUGENE, OR 97401-6723
(541) 970-1970
(458) 223-7265
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/17/2024
Last updated
03/30/2026
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