| Liminal Space Therapy Llc | |
|
5441 S Macadam Ave Ste A Portland OR 97239-6106 | |
| (503) 208-5553 | |
| Not Available |
| Full Name | Liminal Space Therapy Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 5441 S Macadam Ave Ste A, Portland, Oregon |
| Authorized Official Name and Position | Lielah Leighton (OWNER) |
| Authorized Official Contact | 5032085553 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Liminal Space Therapy Llc 3439 Se Hawthorne Blvd # 980 Portland OR 97214-5048 Ph: (503) 208-5553 | Liminal Space Therapy Llc 5441 S Macadam Ave Ste A Portland OR 97239-6106 Ph: (503) 208-5553 |
| NPI Number | 1043036346 |
|---|---|
| Provider Enumeration Date | 12/02/2024 |
| Last Update Date | 12/13/2024 |
| Certification Date | 12/13/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043036346 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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