| Holistic Healing Behavioral Healthcare | |
|
5257 Ne Martin Luther King Blvd Ste 201 Portland OR 97211-3283 | |
| (503) 933-0491 | |
| Not Available |
| Full Name | Holistic Healing Behavioral Healthcare |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 5257 Ne Martin Luther King Blvd Ste 201, Portland, Oregon |
| Authorized Official Name and Position | Jamaica Nizsha Imani-nelson (CEO) |
| Authorized Official Contact | 5039330491 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Holistic Healing Behavioral Healthcare 6941 N Roberts Ave Portland OR 97203-6361 Ph: (503) 933-0491 | Holistic Healing Behavioral Healthcare 5257 Ne Martin Luther King Blvd Ste 201 Portland OR 97211-3283 Ph: (503) 933-0491 |
| NPI Number | 1356973010 |
|---|---|
| Provider Enumeration Date | 02/10/2020 |
| Last Update Date | 02/10/2020 |
| Certification Date | 02/10/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356973010 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (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 | |
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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 | |
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