| Grow Wild Therapy Center, Llc | |
|
6863 Se Henry St Portland OR 97206-6508 | |
| (757) 635-2869 | |
| Not Available |
| Full Name | Grow Wild Therapy Center, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 6863 Se Henry St, Portland, Oregon |
| Authorized Official Name and Position | Amanda Hughes-huerta (CLINICAL DIRECTOR) |
| Authorized Official Contact | 7576352869 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grow Wild Therapy Center, Llc 6863 Se Henry St Portland OR 97206-6508 Ph: (757) 635-2869 | Grow Wild Therapy Center, Llc 6863 Se Henry St Portland OR 97206-6508 Ph: (757) 635-2869 |
| NPI Number | 1326837808 |
|---|---|
| Provider Enumeration Date | 05/02/2025 |
| Last Update Date | 05/02/2025 |
| Certification Date | 05/01/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326837808 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Sandra M. Gonzalez Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1130 Sw Morrison St, Suite 411, Portland, OR 97205 Phone: 503-228-0939 Fax: 503-226-8069 | |
Cascadia Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9125 Sw 55th Ave, Portland, OR 97219 Phone: 503-238-0769 Fax: 503-477-4598 | |
Edwards Psychotherapy, P.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1220 Sw Morrison St, Suite 1100, Portland, OR 97205 Phone: 503-222-0557 | |
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Daniel C Donohue, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2931 Ne Broadway St, Portland, OR 97232 Phone: 503-819-2515 | |
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