Organization · Type 2 NPI

Grow Wild Therapy Center, LLC

Mental Health Counselor · Portland, OR

NPI number 1326837808 Active

Practice location

6863 SE Henry St
Portland, OR 97206-6508

Call (757) 635-2869 Map

Other practice locations

  • 1827 NE 44th Ave Ste 230, Portland, OR 97213-1443 · (503) 477-4969

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed
Clinical Social Worker 1041C0700XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1326837808

Grow Wild Therapy Center, LLC's National Provider Identifier is 1326837808, issued on May 2, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on May 2, 2025.