Organization · Type 2 NPI

Transformative Justice Community

Mental Health Counselor · Portland, OR

NPI number 1730990433 Active

Practice location

5932 NE Glisan St Ste F
Portland, OR 97213-3754

Specialties and licenses

Taxonomy	Code	License
Mental Health Counselor Primary	101YM0800X	None listed

Mental Health Counselor: Definition to come...

2 other providers at this address

Transformative Justice CommunityAddiction (Substance Use Disorder) Counselor Portland, OR NPI 1508677295
Cameron Richard Tyler Hayes, CADC-I, CRM-IIAddiction (Substance Use Disorder) Counselor Portland, OR NPI 1568272391

Other mental health counselor providers in Portland

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NPI record

NPI: 1730990433
Entity type: Organization (Type 2)
Issued: Jan 14, 2025
Last updated: Feb 15, 2025
Status: Active
Subpart: Yes of Transformative Justice Community

Other names

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Regroup Mental Health Services · doing business as
Regroup Mental Health Services · doing business as

Authorized official

Mr. Cameron Richard Tyler Hayes, CADC-I, CRM-II
Director
(808) 773-2991

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About NPI 1730990433

Transformative Justice Community's National Provider Identifier is 1730990433, issued on Jan 14, 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 Feb 15, 2025.