Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Reavy S Edwin, QMHA

Individual provider Mental Health Counselor · NPI 1689421695

Reavy S Edwin, QMHA is a Mental Health Counselor in LA Grande, Oregon. Licensed in Oregon. Registered with an NPI since 2024.

Licensed in
OR
In the registry since
2024

Practice location Address checks out

2301 Cove Ave
LA Grande, OR 97850-3906
Phone: (541) 962-8800
Fax: (541) 963-5272
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 24-QMHA-R-5212 (OR)

Record details

NPI number1689421695
Entity typeIndividual (Type 1)
GenderFemale
Credentials QMHA
Sole proprietorNo
NPI enumeratedMay 6, 2024
Last updated in NPPESMay 6, 2024
Certification dateMay 6, 2024
Mailing address2301 Cove Ave, La Grande, OR 97850-3906

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