Provider Demographics
NPI:1548324940
Name:CENTER FOR HEALING RELATIONSHIPS, LLC
Entity type:Organization
Organization Name:CENTER FOR HEALING RELATIONSHIPS, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CLINIC DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:LYNETTE
Authorized Official - Last Name:BEST
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:503-303-5911
Mailing Address - Street 1:15645 SE 114TH AVE
Mailing Address - Street 2:SUITE #201
Mailing Address - City:CLACKAMAS
Mailing Address - State:OR
Mailing Address - Zip Code:97015-9047
Mailing Address - Country:US
Mailing Address - Phone:503-303-5911
Mailing Address - Fax:503-344-6316
Practice Address - Street 1:15645 SE 114TH AVE
Practice Address - Street 2:SUITE #201
Practice Address - City:CLACKAMAS
Practice Address - State:OR
Practice Address - Zip Code:97015-9047
Practice Address - Country:US
Practice Address - Phone:503-303-5911
Practice Address - Fax:503-344-6316
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-20
Last Update Date:2015-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORC3247251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health