Organization · NPI-2
A Place For Hope And Healing
Social Worker, Clinical · Portland, OR
NPI number1770310864
StatusActive
Last updated in NPPESSep 13, 2024
Details
- NPI
- 1770310864
- Entity type
- Organization (NPI-2)
- Legal business name
- A Place For Hope And Healing
- Organization subpart
- No
- Enumeration date
- Sep 13, 2024
- Certification date
- Sep 13, 2024
- Last updated
- Sep 13, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
| 101YM0800X | Counselor, Mental Health | – | – | |
| 101YP2500X | Counselor, Professional | – | – |
Other names
- Introspective Collective (Doing Business As)
Practice location
1110 Se Alder St Ste 301Portland, OR 97214-2400
Phone 817-312-6370
Mailing address
17818 S Harding RdOregon City, OR 97045-7617
Phone 817-312-6370
Authorized official
Justine Elstad
Owner
8173126370
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