Black Therapy Portland

LBN: Black Therapy Portland
Black Therapy Portland is an health care organization with primary practice located at 8420 N Ivanhoe St # 83811 , Portland OR 97203-4826. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as the primary health care specialty. Black Therapy Portland can be contacted via phone (503) 482-2400, or through Eliahim, Misao via phone (503) 482-2400.

Contact Information

Primary practice address
8420 N Ivanhoe St # 83811 Portland OR 97203-4826
Phone: (503) 482-2400
Fax: (503) 689-8481
Website:
Map and Directions
Authorized official contact:
Name: Eliahim, Misao LMFT ASSOCIATE
Phone: (503) 482-2400

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X

Profile Details

NPI number 1083385140
LBN Legal business name Black Therapy Portland
DBA Doing business as
Authorized official Eliahim, Misao LMFT ASSOCIATE
Entity Organization
Organization subpart 1 No
Enumeration date Sep 27th, 2021
Last updated Sep 27th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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