Awakened Heart Pdx, Llc

LBN: Awakened Heart Pdx, Llc
Awakened Heart Pdx, Llc is an health care organization with primary practice located at 1306 Nw Hoyt St Ste 407 , Portland OR 97209-2787. The organization recently has only one registered license in Ambulatory Health Care Facilities / Adult Mental Health, which is considered as the primary health care specialty. Awakened Heart Pdx, Llc can be contacted via phone (971) 407-3930, or through Mchenry, Ann Marie via phone (971) 407-3930.

Contact Information

Primary practice address
1306 Nw Hoyt St Ste 407 Portland OR 97209-2787
Phone: (971) 407-3930
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mchenry, Ann Marie LMFT
Phone: (971) 407-3930

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X T1051 Oregon

Profile Details

NPI number 1467979914
LBN Legal business name Awakened Heart Pdx, Llc
DBA Doing business as
Authorized official Mchenry, Ann Marie LMFT
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 25th, 2017
Last updated Mar 11th, 2022 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1467979914 NPPES
Other 1477854750 NPI TYPE 1
Other 1609295682 NPI TYPE 1
Other 1134628571 NPI TYPE 1

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