Organization · Type 2 NPI
Social 58 LLC
Mental Health Counselor · Portland, OR
NPI number
1093432957
Active
Practice location
1515 SW 5th Ave Ste 930
Portland, OR 97201-5406
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
Another provider at this address
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About NPI 1093432957
Social 58 LLC's National Provider Identifier is 1093432957, issued on Oct 21, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Sep 2, 2025.