Provider Demographics
NPI:1013405380
Name:ARRIVAL COUNSELING, LLC
Entity Type:Organization
Organization Name:ARRIVAL COUNSELING, LLC
Other - Org Name:ARRIVAL COUNSELING, LLC
Other - Org Type:Other Name
Authorized Official - Title/Position:MENTAL HEALTH COUNSELOR/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:DOLLE
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:503-201-5829
Mailing Address - Street 1:2285 NW JOHNSON ST STE 2B
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97210-3236
Mailing Address - Country:US
Mailing Address - Phone:503-201-5829
Mailing Address - Fax:
Practice Address - Street 1:2285 NW JOHNSON ST STE 2B
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97210-3236
Practice Address - Country:US
Practice Address - Phone:503-201-5829
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-23
Last Update Date:2018-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty