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MINDMAP LLC NPI 1720491616


NPI Information

NPI: 1720491616
Provider Name: MINDMAP LLC
Classification: Marriage & Family Therapist - 106H00000X
Entity Type: Organization
Address:
4003 NE GRAND AVE
PORTLAND, OR
ZIP 97212
Phone: (503) 970-2522
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MINDMAP LLC is a marriage family therapist in Portland, OR. The provider is a marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. MINDMAP LLC NPI is 1720491616. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4003 NE GRAND AVE
PORTLAND, OR
ZIP 97212-109
Phone: (503) 970-2522
Fax: (503) 387-3253

The provider's authorized official is Joseph Christensen .
The authorized official title is Executive Clinical Director and has the following contact phone number (503) 970-2522.

The enumeration date for this NPI number is 6/9/2014 and was last updated on 6/9/2014.


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
1101YA0400XCounselorAddiction (Substance Use Disorder)507580VIRGINIANo
2106H00000XMarriage & Family TherapistT0555OREGONYes

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: 5/5/2024

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