Braided River Counseling Llc

LBN: Braided River Counseling Llc
Braided River Counseling Llc is an health care organization with primary practice located at 2545 Ne 25Th Ave , Portland OR 97212-4839. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Braided River Counseling Llc can be contacted via phone (503) 389-0550, or through Mercural, Todd via phone (503) 389-0550.

Contact Information

Primary practice address
2545 Ne 25Th Ave Portland OR 97212-4839
Phone: (503) 389-0550
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mercural, Todd Licensed Professional Counselor (LPC)
Phone: (503) 389-0550

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1326806035
LBN Legal business name Braided River Counseling Llc
DBA Doing business as
Authorized official Mercural, Todd Licensed Professional Counselor (LPC)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 7th, 2024
Last updated Mar 7th, 2024 - about 9 months 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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