In Between Therapy Collective LLC
Marriage & Family Therapist in Portland, OR. Organization (NPI-2).
NPI number1245939628
StatusActive
Last updated in NPPESFeb 24, 2023
Details
- NPI
- 1245939628
- Entity type
- Organization (NPI-2)
- Legal business name
- In Between Therapy Collective LLC
- Organization subpart
- No
- Enumeration date
- Feb 24, 2023
- Certification date
- Feb 24, 2023
- Last updated
- Feb 24, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | – | – | Yes |
Other names
- In Between Therapy Collective (Doing Business As)
Practice location
3726 Se Lafayette CtPortland, OR 97202-1874
Phone 207-504-6405
Mailing address
Po Box 15240Portland, OR 97293-5240
Authorized official
David Adams
Authorized Official
2075046405
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