MENTAL HEALTH & ADDICTION THERAPY LLC NPI 1619418647

NPI Information

NPI: 1619418647
Provider Name: MENTAL HEALTH & ADDICTION THERAPY, LLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
511 SW 10TH AVE STE 601
PORTLAND, OR
ZIP 97205
Phone: (503) 597-8250
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MENTAL HEALTH & ADDICTION THERAPY, LLC is a mental health counselor in Portland, OR. MENTAL HEALTH & ADDICTION THERAPY, LLC NPI is 1619418647. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

511 SW 10TH AVE STE 601
PORTLAND, OR
ZIP 97205-707
Phone: (503) 597-8250

The provider's authorized official is Niaz Larsen .
The authorized official title is Mental Health & Addiction Therapist and has the following contact phone number (503) 804-1467.

The enumeration date for this NPI number is 3/9/2017 and was last updated on 3/18/2017.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	11-03-20	OREGON	No
2	101YM0800X	Counselor	Mental Health	C2855	OREGON	Yes

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: 11/14/2023

NPI Synchronization or Removal

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