Provider Demographics
NPI:1346010592
Name:HEART PATH COUNSELING
Entity Type:Organization
Organization Name:HEART PATH COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:KRUMM
Authorized Official - Last Name:KRUMM
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:503-867-2982
Mailing Address - Street 1:19300 MOLALLA AVE UNIT 298
Mailing Address - Street 2:
Mailing Address - City:OREGON CITY
Mailing Address - State:OR
Mailing Address - Zip Code:97045-0814
Mailing Address - Country:US
Mailing Address - Phone:503-867-2982
Mailing Address - Fax:
Practice Address - Street 1:11630 SE 40TH AVE STE C
Practice Address - Street 2:
Practice Address - City:MILWAUKIE
Practice Address - State:OR
Practice Address - Zip Code:97222-6195
Practice Address - Country:US
Practice Address - Phone:503-867-2982
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-08
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health