| Black Therapist & Company, Llc | |
|
10700 Sw Beaverton Hillsidale Hwy Bldg #3, Suite # 560 Beaverton OR 97005 | |
| (503) 628-9452 | |
| (503) 356-3087 |
| Full Name | Black Therapist & Company, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 10700 Sw Beaverton Hillsidale Hwy, Beaverton, Oregon |
| Authorized Official Name and Position | Rosemarie Hemmings (OWNER) |
| Authorized Official Contact | 5036289452 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Black Therapist & Company, Llc 6107 Sw Murray Blvd # 310 Beaverton OR 97008-4421 Ph: (503) 628-9452 | Black Therapist & Company, Llc 10700 Sw Beaverton Hillsidale Hwy Bldg #3, Suite # 560 Beaverton OR 97005 Ph: (503) 628-9452 |
| NPI Number | 1942951405 |
|---|---|
| Provider Enumeration Date | 01/15/2022 |
| Last Update Date | 01/15/2022 |
| Certification Date | 01/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942951405 | NPI | - | NPPES |
| 1235431214 | Other | INDIVIDUAL NPI# |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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