Provider Demographics
NPI:1154088540
Name:TWINFLOWER COUNSELING LLC
Entity Type:Organization
Organization Name:TWINFLOWER COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:MEGGAN
Authorized Official - Middle Name:C
Authorized Official - Last Name:MCEVOY
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:503-729-3334
Mailing Address - Street 1:1821 N FARRAGUT ST
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97217-6519
Mailing Address - Country:US
Mailing Address - Phone:503-680-3060
Mailing Address - Fax:
Practice Address - Street 1:1821 N FARRAGUT ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97217-6519
Practice Address - Country:US
Practice Address - Phone:503-729-3334
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-20
Last Update Date:2021-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty