Liminal Space Therapy LLC
Social Worker, Clinical in Portland, OR. Organization (NPI-2).
NPI number1043036346
StatusActive
Last updated in NPPESDec 13, 2024
Details
- NPI
- 1043036346
- Entity type
- Organization (NPI-2)
- Legal business name
- Liminal Space Therapy LLC
- Organization subpart
- No
- Enumeration date
- Dec 2, 2024
- Certification date
- Dec 13, 2024
- Last updated
- Dec 13, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
Practice location
5441 S Macadam Ave Ste APortland, OR 97239-6106
Phone 503-208-5553
Mailing address
3439 Se Hawthorne Blvd # 980Portland, OR 97214-5048
Phone 503-208-5553
Authorized official
Lielah Leighton
Owner
5032085553
Is something wrong?
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