Provider Demographics
NPI:1639857410
Name:TRUE NORTH THERAPY LLC
Entity Type:Organization
Organization Name:TRUE NORTH THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANNELISE
Authorized Official - Middle Name:M
Authorized Official - Last Name:MANNS
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:971-367-0841
Mailing Address - Street 1:657 NE HOOD AVE
Mailing Address - Street 2:
Mailing Address - City:GRESHAM
Mailing Address - State:OR
Mailing Address - Zip Code:97030-7328
Mailing Address - Country:US
Mailing Address - Phone:971-367-0841
Mailing Address - Fax:
Practice Address - Street 1:657 NE HOOD AVE
Practice Address - Street 2:
Practice Address - City:GRESHAM
Practice Address - State:OR
Practice Address - Zip Code:97030-7328
Practice Address - Country:US
Practice Address - Phone:971-367-0841
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-10
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty