Mindtree Holistic Counseling & Wellness Center Llc | |
5440 Sw Westgate Dr Ste 210 Portland OR 97221-2418 | |
(503) 766-4895 | |
(503) 716-4699 |
Full Name | Mindtree Holistic Counseling & Wellness Center Llc |
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Speciality | Marriage & Family Therapist |
Location | 5440 Sw Westgate Dr Ste 210, Portland, Oregon |
Authorized Official Name and Position | Sreeharini Sukumaran (OWNER / DIRECTOR) |
Authorized Official Contact | 5039271656 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mindtree Holistic Counseling & Wellness Center Llc 5440 Sw Westgate Dr Ste 210 Portland OR 97221-2418 Ph: (503) 766-4895 | Mindtree Holistic Counseling & Wellness Center Llc 5440 Sw Westgate Dr Ste 210 Portland OR 97221-2418 Ph: (503) 766-4895 |
NPI Number | 1922692995 |
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Provider Enumeration Date | 02/21/2021 |
Last Update Date | 03/29/2021 |
Certification Date | 03/29/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1922692995 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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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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