| Golden Flower Behavioral Services Llc | |
|
13108 Ne Schuyler St Portland OR 97230-2244 | |
| (503) 860-2804 | |
| Not Available |
| Full Name | Golden Flower Behavioral Services Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 13108 Ne Schuyler St, Portland, Oregon |
| Authorized Official Name and Position | Toeknee Morales (OWNER/DIRECTOR) |
| Authorized Official Contact | 5038602804 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Golden Flower Behavioral Services Llc 13108 Ne Schuyler St Portland OR 97230-2244 Ph: (503) 860-2804 | Golden Flower Behavioral Services Llc 13108 Ne Schuyler St Portland OR 97230-2244 Ph: (503) 860-2804 |
| NPI Number | 1538630215 |
|---|---|
| Provider Enumeration Date | 12/06/2018 |
| Last Update Date | 01/23/2023 |
| Certification Date | 01/23/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538630215 | NPI | - | NPPES |
| 500760823 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| 103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
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