Organization · Type 2 NPI
Rebel Heart Therapy LLC
Mental Health Clinic/Center (Including Community Mental Health Center) · Portland, OR
NPI number
1073146197
Active
Practice location
11 NE Mlk Blvd Ste 203
Portland, OR 97232-3579
Fax (971) 350-3401
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | None listed |
| Marriage & Family Therapist | 106H00000X | None listed |
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
4 other providers at this address
- John Matthew LivengoodMental Health Counselor Portland, OR NPI 1013784552
- Kai Deva Carli, MA AT, ATR-PMental Health Counselor Portland, OR NPI 1750004057
- Ryan Joseph SullivanMental Health Counselor Portland, OR NPI 1659287217
- Tamara Werner-Fitz Gibbon, LPC, LMHCMental Health Counselor Portland, OR NPI 1427456938
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- Flourish Counseling and Wellness CenterMental Health Clinic/Center (Including Community Mental Health Center) Portland, OR NPI 1023624780
- Embodied ConsciousnessMental Health Clinic/Center (Including Community Mental Health Center) Portland, OR NPI 1023922853
- Allminds Medical Group Northwest PCMental Health Clinic/Center (Including Community Mental Health Center) Portland, OR NPI 1033067467
- New Living Hope IncMental Health Clinic/Center (Including Community Mental Health Center) Portland, OR NPI 1043049737
- Illumination Counseling LLCMental Health Clinic/Center (Including Community Mental Health Center) Portland, OR NPI 1053148866
About NPI 1073146197
Rebel Heart Therapy LLC's National Provider Identifier is 1073146197, issued on Feb 17, 2020. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Portland, OR. The record was last updated on Feb 10, 2022.