| Luminesce Counseling | |
|
6018 Se Stark St Ste 103 Portland OR 97215-1990 | |
| (503) 206-5405 | |
| Not Available |
| Full Name | Luminesce Counseling |
|---|---|
| Speciality | Clinic/Center |
| Location | 6018 Se Stark St Ste 103, Portland, Oregon |
| Authorized Official Name and Position | Kristin Kay Schuchman (PRESIDENT) |
| Authorized Official Contact | 5037542636 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Luminesce Counseling 624 Se 70th Ave Portland OR 97215-2126 Ph: (503) 382-9506 | Luminesce Counseling 6018 Se Stark St Ste 103 Portland OR 97215-1990 Ph: (503) 206-5405 |
| NPI Number | 1265016679 |
|---|---|
| Provider Enumeration Date | 05/11/2021 |
| Last Update Date | 10/27/2021 |
| Certification Date | 10/27/2021 |
| Medicare PECOS PAC ID | 3072901842 |
|---|---|
| Medicare Enrollment ID | O20211027002177 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265016679 | NPI | - | NPPES |
| Provider Name | Adrienne Wolmark |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225382468 PECOS PAC ID: 4880093335 Enrollment ID: I20210603000741 |
Sandra M. Gonzalez Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1130 Sw Morrison St, Suite 411, Portland, OR 97205 Phone: 503-228-0939 Fax: 503-226-8069 | |
Cascadia Behavioral Healthcare, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9125 Sw 55th Ave, Portland, OR 97219 Phone: 503-238-0769 Fax: 503-477-4598 | |
Edwards Psychotherapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1220 Sw Morrison St, Suite 1100, Portland, OR 97205 Phone: 503-222-0557 | |
Wellpath Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3701 Se Milwaukie Ave Ste D, Portland, OR 97202 Phone: 503-784-2377 | |
Daniel C Donohue, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2931 Ne Broadway St, Portland, OR 97232 Phone: 503-819-2515 | |
Cultivating A New Life Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 Se Spokane St Ste 300, Portland, OR 97202 Phone: 541-904-0468 | |
Tiffany Kettermann, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2926 Ne Flanders St Ste 3c, Portland, OR 97232 Phone: 971-270-0167 |