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IMAGINE LIFE COUNSELING AND CONSULTATION LLC. NPI 1407306913


NPI Information

NPI: 1407306913
Provider Name: IMAGINE LIFE COUNSELING AND CONSULTATION, LLC.
Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

Address:
2325 E BURNSIDE ST
SUITE 202
PORTLAND, OR
ZIP 97214
Phone: (503) 701-2294
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IMAGINE LIFE COUNSELING AND CONSULTATION, LLC. is a clinical social worker in Portland, OR. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. IMAGINE LIFE COUNSELING AND CONSULTATION, LLC. NPI is 1407306913. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

2325 E BURNSIDE ST
SUITE 202
PORTLAND, OR
ZIP 97214-655
Phone: (503) 701-2294

The provider's authorized official is Deah Renee Partak .
The authorized official title is Owner / Therapist and has the following contact phone number (503) 701-2294.

The enumeration date for this NPI number is 10/7/2016 and was last updated on 10/7/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)11-06-94OREGONNo
21041C0700XSocial WorkerClinicalL4576OREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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