| Healed Phoenix Behavioral Health Llc | |
|
1033 Sw Yamhill St Ste 101 Portland OR 97205-2537 | |
| (513) 252-6939 | |
| Not Available |
| Full Name | Healed Phoenix Behavioral Health Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1033 Sw Yamhill St Ste 101, Portland, Oregon |
| Authorized Official Name and Position | Tiffany Bryant (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 5132526939 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healed Phoenix Behavioral Health Llc 12317 W Denton Ave Litchfield Park AZ 85340-3434 Ph: (513) 252-6939 | Healed Phoenix Behavioral Health Llc 1033 Sw Yamhill St Ste 101 Portland OR 97205-2537 Ph: (513) 252-6939 |
| NPI Number | 1346066495 |
|---|---|
| Provider Enumeration Date | 11/22/2024 |
| Last Update Date | 12/05/2024 |
| Certification Date | 12/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346066495 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral 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 | |
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 |