| Sankofa Counseling, Llc | |
|
5014 Ne 15th Ave Portland OR 97211-4406 | |
| (503) 444-8214 | |
| (888) 978-8164 |
| Full Name | Sankofa Counseling, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 5014 Ne 15th Ave, Portland, Oregon |
| Authorized Official Name and Position | Vanessa Washington (OWNER/MEMBER) |
| Authorized Official Contact | 5034448214 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sankofa Counseling, Llc Po Box 20127 Portland OR 97294-0127 Ph: (503) 444-8214 | Sankofa Counseling, Llc 5014 Ne 15th Ave Portland OR 97211-4406 Ph: (503) 444-8214 |
| NPI Number | 1851842108 |
|---|---|
| Provider Enumeration Date | 10/21/2016 |
| Last Update Date | 03/16/2023 |
| Certification Date | 03/16/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851842108 | NPI | - | NPPES |
| 500804942 | Medicaid | OR | |
| 500723905 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | C0084 (Oregon) | Secondary |
| 101YP2500X | Counselor - Professional | (* (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 | |
Edwards Psychotherapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1220 Sw Morrison St, Suite 1100, Portland, OR 97205 Phone: 503-222-0557 | |
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 |