Organization · Type 2 NPI
Evolving Self Integral Counseling, LLC
Adult Mental Health Clinic/Center · Portland, OR
NPI number
1144901513
Active
Practice location
2232 NW Everett St Apt 21
Portland, OR 97210-5516
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Mental Health Clinic/Center Primary | 261QM0850X | None listed |
Adult Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
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About NPI 1144901513
Evolving Self Integral Counseling, LLC's National Provider Identifier is 1144901513, issued on Jul 28, 2023. The primary taxonomy on file is Adult Mental Health Clinic/Center (261QM0850X), and the practice location is in Portland, OR. The record was last updated on Jul 28, 2023.