Provider Demographics
NPI:1356862619
Name:JOYFUL IMPERFECTION COUNSELING, LLC
Entity Type:Organization
Organization Name:JOYFUL IMPERFECTION COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:DR
Authorized Official - First Name:RAQUEL
Authorized Official - Middle Name:DOLORES
Authorized Official - Last Name:MULLER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:503-847-9215
Mailing Address - Street 1:7145 SW VARNS ST STE 103
Mailing Address - Street 2:
Mailing Address - City:TIGARD
Mailing Address - State:OR
Mailing Address - Zip Code:97223-8170
Mailing Address - Country:US
Mailing Address - Phone:503-847-9215
Mailing Address - Fax:
Practice Address - Street 1:7145 SW VARNS ST STE 103
Practice Address - Street 2:
Practice Address - City:TIGARD
Practice Address - State:OR
Practice Address - Zip Code:97223-8170
Practice Address - Country:US
Practice Address - Phone:503-847-9215
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-27
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR2714103TB0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & BehavioralGroup - Single Specialty