Healing Tides Counseling, Llc

NPI Registration Record

Provider / Organization	NPI	Date Certified
HEALING TIDES COUNSELING, LLC	1578146106	2021-05-02

The organization Healing Tides Counseling, Llc is registered with the National Plan and Provider Enumeration System (NPPES) and has the assigned NPI of 1578146106. Registration indicates Healing Tides Counseling, Llc is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Counselor (Behavioral Health & Social Service Providers, Counselor) (Counselor: Mental Health, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Counselor Mental Health, Behavioral Health & Social Service Providers) (Counselor, )

Entity Type	Organization
Provider Organization	HEALING TIDES COUNSELING, LLC
Practice Office Address	2450 SE BELMONT ST PORTLAND, OR US
Practice Office Telephone	5038872555
Practice Office Fax	5032120969
Mailing Address	3439 NE SANDY BLVD # 313 PORTLAND, OR 972321959 US
Business Telephone	5038876255
Business Fax	5032120969
Authorized Official	SHANAKO DEVOLL, OWNER/THERAPIST 5038876255

Contact Endpoints

Direct Messaging Address []	[email protected]
Direct Messaging Address []	[email protected]

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