| Epiphany Counseling Services, Llc | |
|
4905 Sw Scholls Ferry Rd Portland OR 97225-1605 | |
| (503) 889-0985 | |
| Not Available |
| Full Name | Epiphany Counseling Services, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 4905 Sw Scholls Ferry Rd, Portland, Oregon |
| Authorized Official Name and Position | Elizabeth Ann Anderson (COMPLIANCE OFFICER) |
| Authorized Official Contact | 5039999959 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Epiphany Counseling Services, Llc 6312 Sw Capitol Hwy # 105 Portland OR 97239-1938 Ph: (503) 889-0985 | Epiphany Counseling Services, Llc 4905 Sw Scholls Ferry Rd Portland OR 97225-1605 Ph: (503) 889-0985 |
| NPI Number | 1407489297 |
|---|---|
| Provider Enumeration Date | 02/19/2020 |
| Last Update Date | 02/19/2020 |
| Certification Date | 02/19/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407489297 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 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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