Organization
QUALITY OF LIFE THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY PETERS LCSW (OWNER/THERAPIST)
(971) 999-0175
Entity
Organization
Contact information
Practice address
118 ROBBINS ST, MOLALLA, OR 97038-8141
(971) 999-0175
Mailing address
PO BOX 85, MOLALLA, OR 97038-0085
(971) 339-9339
(855) 651-0575
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5000712083
—
OR
Enumeration date
07/17/2020
Last updated
06/06/2026
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