| Evergreen Counseling Llc | |
|
937 Ne Tillamook St Portland OR 97212-4059 | |
| (503) 334-9414 | |
| (844) 222-4353 |
| Full Name | Evergreen Counseling Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 937 Ne Tillamook St, Portland, Oregon |
| Authorized Official Name and Position | Caitlin A Kiley (OWNER) |
| Authorized Official Contact | 5033349414 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evergreen Counseling Llc 937 Ne Tillamook St Portland OR 97212-4059 Ph: (503) 334-9414 | Evergreen Counseling Llc 937 Ne Tillamook St Portland OR 97212-4059 Ph: (503) 334-9414 |
| NPI Number | 1649002387 |
|---|---|
| Provider Enumeration Date | 08/19/2024 |
| Last Update Date | 08/19/2024 |
| Certification Date | 08/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649002387 | NPI | - | NPPES |
| C6961 | Other | OR | LPC |
| 500701824 | Medicaid | OR | |
| MHC.LH.60910450 | Other | WA | LMHC |
| 101YM0800X | Other | TAXONOMY CODE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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 |