| Congruent Therapy Llc | |
|
1110 Se Alder St Ste 301 Portland OR 97214-2400 | |
| (971) 221-8664 | |
| Not Available |
| Full Name | Congruent Therapy Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1110 Se Alder St Ste 301, Portland, Oregon |
| Authorized Official Name and Position | Italia Hensley (MARRIAGE AND FAMILY THERAPIST A) |
| Authorized Official Contact | 9712218664 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Congruent Therapy Llc 929 Se 50th Ave Portland OR 97215-2601 Ph: () - | Congruent Therapy Llc 1110 Se Alder St Ste 301 Portland OR 97214-2400 Ph: (971) 221-8664 |
| NPI Number | 1679276547 |
|---|---|
| Provider Enumeration Date | 03/22/2023 |
| Last Update Date | 03/22/2023 |
| Certification Date | 03/22/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679276547 | NPI | - | NPPES |
| 1700408879 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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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 | |
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