SANKOFA COUNSELING LLC NPI 1851842108

NPI Information

NPI: 1851842108
Provider Name: SANKOFA COUNSELING, LLC

Former Legal Business Name: MAYNARD COUNSELING AND CONSULTING, LLC

Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
511 SW 10TH AVE STE 1104
PORTLAND, OR
ZIP 97205
Phone: (503) 444-8214
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SANKOFA COUNSELING, LLC is a professional counselor in Portland, OR. SANKOFA COUNSELING, LLC NPI is 1851842108. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Maynard Counseling And Consulting, Llc.

The provider's business location address is:

511 SW 10TH AVE STE 1104
PORTLAND, OR
ZIP 97205-712
Phone: (503) 444-8214
Fax: (888) 978-8164

The provider's authorized official is Vanessa Washington .
The authorized official title is Owner/member and has the following contact phone number (503) 444-8214.

The enumeration date for this NPI number is 10/21/2016 and was last updated on 3/17/2018.

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	101YM0800X	Counselor	Mental Health	C0084	OREGON	No
2	101YP2500X	Counselor	Professional			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	500723905	MEDICAID	OREGON

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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